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Organization

SPECIALISTS IN OTOLARYNGOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOWARD MARTIN BERG MD (PHYSICIAN)
(973) 731-5400
Entity
Organization

Contact information

Practice address
101 OLD SHORT HILLS ROAD, WEST ORANGE, NJ 07052
(973) 731-5400
(973) 669-0805
Mailing address
101 OLD SHORT HILLS ROAD, WEST ORANGE, NJ 07052
(973) 731-5400
(973) 669-0805

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
47806
NJ

Other

Enumeration date
07/19/2007
Last updated
07/19/2007
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