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Glen W. Berger, M.D., P.A.

Internal Medicine in Ho Ho Kus, NJ. Organization (NPI-2).

NPI number1891950796
StatusActive
Last updated in NPPESSep 6, 2012

Details

NPI
1891950796
Entity type
Organization (NPI-2)
Legal business name
Glen W. Berger, M.D., P.A.
Organization subpart
No
Enumeration date
Jul 21, 2008
Last updated
Sep 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine25MA06271300NJYes

Practice location

110 Warren Ave
Suite 5
Ho Ho Kus, NJ 07423-1566

Phone 201-444-9405 · Fax 201-444-9408

Mailing address

110 Warren Ave
Suite 5
Ho Ho Kus, NJ 07423-1566

Phone 201-444-9405 · Fax 201-444-9408

Authorized official

Glen W. Berger
President
2014449405

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