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Individual

DR. RICHARD J. BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
905 MAIN ST, MILFORD, OH 45150-5049
(513) 248-1210
(513) 248-3065
Mailing address
2271 DONNINGTON LN, CINCINNATI, OH 45244-3713

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35079372
OH
2080A0000X
Pediatric Adolescent Medicine Physician
35079372B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0324413
OH
Enumeration date
01/05/2006
Last updated
06/05/2019
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