Individual
GEOFFREY HERBST BERG
Active
Individual
GEOFFREY HERBST BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05035
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-02664
UNITED HEALTH CARE
—
01
—
2919
BCBS
RI
01
—
405576
BLUE CHIP
RI
01
—
455099
TUFTS
—
05
—
7001787
—
RI
Enumeration date
07/09/2005
Last updated
06/06/2012
Update your record
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