Individual
BRUCE W. BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1838 GREENE TREE RD, SUITE 460, BALTIMORE, MD 21208-6391
(410) 581-1600
(410) 581-1603
Mailing address
25 CROSSROADS DR, SUITE 306, OWINGS MILLS, MD 21117-5421
(410) 581-1600
(410) 581-1603
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D13959
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118781300
—
MD
Enumeration date
04/10/2006
Last updated
08/22/2013
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