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Dr. Bruce C Berger
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Bruce C Berger |
| Gender: | M |
| Provider License Number If Given: | MD016488E |
NPI Information:
| NPI: | 1821083254 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 2/4/2013 |
Provider Business Mailing Address:
| Address: | 1235 OLD YORK RD SUITE NUMBER 222 Abington, PA 19001 |
| Phone Number: | 2155171000 |
| Fax Number: | 2155171049 |
Provider Business Practice Location Address:
| Address: | 1235 OLD YORK RD SUITE NUMBER 222 Abington, PA 19001 |
| Phone Number: | 2155171000 |
| Fax Number: | 2155171049 |
Provider Taxonomy:
| Primary: | 207RC0000X |
| Secondary (if any): | |
| State: | PA |
