Individual
JESSICA BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1858
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 443-1341
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD471571
PA
207LP3000X
Pediatric Anesthesiology Physician
D0087229
MD
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD471571
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/26/2014
Last updated
06/01/2023
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