Organization
GLEN W. BERGER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN W. BERGER M.D. (PRESIDENT)
(201) 444-9405
Entity
Organization
Contact information
Practice address
110 WARREN AVE, SUITE 5, HO HO KUS, NJ 07423-1566
(201) 444-9405
(201) 444-9408
Mailing address
110 WARREN AVE, SUITE 5, HO HO KUS, NJ 07423-1566
(201) 444-9405
(201) 444-9408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06271300
NJ
Other
Enumeration date
07/21/2008
Last updated
09/06/2012
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