Individual
DR. ROBERT A BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD434817
PA
2080P0203X
Pediatric Critical Care Medicine Physician
10695
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD434817
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021962790001
—
PA
01
—
132339EMD
MEDICARE PTAN
PA
05
—
277021
—
AZ
01
—
ZWCGCR
GROUP MEDICARE NUMBER
AZ
Enumeration date
02/08/2006
Last updated
06/01/2023
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