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Individual

DR. JONATHAN BENJAMIN BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 761-0300
(518) 792-8231
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 480-0108

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
228061-1
NY

Other

Enumeration date
09/07/2005
Last updated
05/11/2024
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