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Individual

NEIL J BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1600 W GIRARD AVE, PHILADELPHIA, PA 19130-1615
(215) 787-9000
(215) 787-2115
Mailing address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-2000
(215) 787-2115

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0S003296L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000655870
PA
01
0057526000
INDEPENDENCE BLUE CROSS
PA
01
0065587001
AMERICHOICE
PA
01
1030343
KEYSTONE MERCY
PA
01
15771
HEALTH PARTNERS
PA
01
300064534
RR MEDICARE
PA
01
8322
BRAVO ELDER HEALTH
PA
Enumeration date
08/19/2005
Last updated
09/14/2019
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