Individual
DR. LARA VON BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
11 OVERLOOK RD STE 100, SUMMIT, NJ 07901-3580
(908) 273-1493
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09617100
NJ
Other
Enumeration date
06/08/2012
Last updated
02/22/2019
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