Individual
ROCHELLE BAGATELL BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHCA HEMATOLOGY & ONCOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-3535
(215) 590-3992
Mailing address
100 E PENN SQ FL 9, CHCA HEMATOLOGY & ONCOLOGY, PHILADELPHIA, PA 19107-3377
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
25914
AZ
2080P0207X
Pediatric Hematology & Oncology Physician
282815
NY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD435134
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102208469
—
PA
01
—
370013112
RR MEDICARE
AZ
05
—
456500
—
AZ
01
—
ZWCGCR
GROUP MEDICARE PIN
AZ
Enumeration date
02/06/2006
Last updated
02/25/2016
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