Individual
DR. JONATHAN SANFORD BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5092 GENETICS MEDICINE BUILDING, UNC - CHAPEL HILL, CB # 7264, CHAPEL HILL, NC 27599-7264
(919) 966-7043
(919) 843-0291
Mailing address
5092 GENETICS MEDICINE BUILDING, UNC - CHAPEL HILL, CB # 7264, CHAPEL HILL, NC 27599-7264
(919) 966-7043
(919) 843-0291
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2009-00418
NC
207SG0201X
Clinical Genetics (M.D.) Physician
2009-00418
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186355701
—
TX
05
—
186355702
—
TX
Enumeration date
07/11/2007
Last updated
06/09/2009
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