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Individual

MELVIN N BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FL, MSC9152, SHAKER HTS, OH 44122-5203
(216) 286-6299
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
35-050886
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000028073
ANTHEM
OH
01
000000221094
UNISON
OH
01
000000525881
ANTHEM
OH
01
0011201010003
PA MEDICAID
PA
01
0562958
BCMH
OH
05
0562958
OH
01
10025555600
NE MEDICAID
NE
01
363425
WELLCARE
OH
01
370001899
RAILROAD MEDICARE
OH
01
3810012322
WV MEDICAID
WV
01
639478
AETNA
OH
01
738034
BUCKEYE
OH
01
P00412298
RAILROAD MEDICARE
OH
Enumeration date
07/21/2006
Last updated
09/29/2008
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