Individual
DR. JACOB BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE VA MEDICAL CENTER, DEPT OF NEUROLOGY, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
830 CHALKSTONE AVE, PROVIDENCE VA MEDICAL CENTER, DEPT OF NEUROLOGY, PROVIDENCE, RI 02908-4734
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD12584
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02682699
—
NY
01
—
12584
RI LICENSE
RI
01
—
2575620
UHC
NY
01
—
790791
MVP
NY
01
—
P3628039
OXFORD
NY
Enumeration date
12/15/2006
Last updated
03/07/2023
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