Individual
MR. SCOTT R BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
62 JACOBS HILL RD, MANSFIELD CENTER, CT 06250-1650
(860) 208-1879
(860) 931-5035
Mailing address
PO BOX 20167, BELFAST, ME 04915-4096
(860) 208-1797
(860) 931-5035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
027000
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001270008
—
CT
01
—
010027000CT01
BLUE SHIELD OF CT
CT
Enumeration date
10/25/2005
Last updated
04/13/2017
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