Organization
CHARLES COUNTY DERMATOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BERGER MD PA (DOCTOR)
(301) 843-1600
Entity
Organization
Contact information
Practice address
4225 ALTAMONT PLACE, UNIT 3, WHITE PLAINS, MD 20695
(301) 843-1600
(301) 645-4734
Mailing address
P.O BOX 791011, BALTIMORE, MD 21279
(301) 843-1600
(301) 645-4734
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
415P
MEDICARE GROUP
MD
Enumeration date
08/31/2006
Last updated
03/18/2008
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