Individual
MARC DAVID BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAAP
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G146366
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
G146366
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344549
—
AZ
01
—
370019429
RR MEDICARE
AZ
01
—
ZWCGCR
GROUP MEDICARE NUMBER
AZ
Enumeration date
02/08/2006
Last updated
04/10/2024
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