Individual
LESLIE BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
901 WEST MAIN STREET, AMBULATORY CAMPUS SUITE 100, FREEHOLD, NJ 07728
(732) 294-2574
(732) 294-2575
Mailing address
901 WEST MAIN STREET, AMBULATORY CAMPUS SUITE 100, FREEHOLD, NJ 07728
(732) 294-2574
(732) 294-2575
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00771600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4141008
—
NJ
Enumeration date
02/02/2018
Last updated
06/16/2018
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