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Individual

DR. HOWARD STEPHEN BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1325 WYOMING BLVD NE, PMG KASEMAN BEHAVIORAL MEDICINE, ALBUQUERQUE, NM 87112-5046
(505) 291-5316
(505) 291-5301
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9812
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95388257
NM
Enumeration date
03/02/2007
Last updated
12/29/2009
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