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Individual

ULRIKE BERTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3322
(201) 894-0585
Mailing address
375 ENGLE ST, ENGLEWOOD, NJ 07631-1823
(201) 871-6073
(201) 655-6159

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08745500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0239283
NJ
05
03256080
NY
Enumeration date
07/03/2007
Last updated
08/18/2011
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