Individual
MR. ERIC CHRISTOPHER BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
115 PORTER DRIVE, MIDDLEBURY, VT 05753
(802) 388-5672
Mailing address
329 WOODLAND PARK, MIDDLEBURY, VT 05753
(802) 388-5672
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
058370-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
101-0027388
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013329
—
VT
05
—
30346738
—
NH
01
—
69763
BLUE CROSS BLUE SHIELD
VT
Enumeration date
02/20/2007
Last updated
07/20/2010
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