Organization
JAY B BERGER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY BENNETT BERGER M.D. (PRESIDENT)
(610) 865-3570
Entity
Organization
Contact information
Practice address
77 W BROAD ST, UNIT 14-C, BETHLEHEM, PA 18018-5751
(610) 865-3570
(610) 865-2581
Mailing address
77 W BROAD ST, UNIT 14-C, BETHLEHEM, PA 18018-5751
(610) 865-3570
(610) 865-2581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019375
HIGHMARK BLUE SHIELD
—
01
—
0004669929
AETNA
—
05
—
000639429
—
PA
01
—
0050616001
IBC HMO
—
01
—
03181200
CAPITAL BLUE CROSS
—
01
—
111908532
PALMETTO GBA-RR MEDICARE
—
01
—
20028934
AMHP
—
Enumeration date
01/24/2007
Last updated
07/09/2010
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