Individual
STANLEY RANDOLPH BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 BALA PLZ, SUITE 300, BALA CYNWYD, PA 19004-1501
(215) 660-7778
Mailing address
2 BALA PLZ, SUITE 300, BALA CYNWYD, PA 19004-1501
(215) 660-7778
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD-043471-L
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD043471L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015150320002
—
PA
Enumeration date
11/16/2006
Last updated
02/17/2015
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