| Glen W. Berger, M.d., P.a. | |
|
110 Warren Ave Suite 5 Ho Ho Kus NJ 07423-1566 | |
| (201) 444-9405 | |
| (201) 444-9408 |
| Full Name | Glen W. Berger, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 Warren Ave, Ho Ho Kus, New Jersey |
| Authorized Official Name and Position | Glen W. Berger (PRESIDENT) |
| Authorized Official Contact | 2014449405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen W. Berger, M.d., P.a. 110 Warren Ave Suite 5 Ho Ho Kus NJ 07423-1566 Ph: (201) 444-9405 | Glen W. Berger, M.d., P.a. 110 Warren Ave Suite 5 Ho Ho Kus NJ 07423-1566 Ph: (201) 444-9405 |
| NPI Number | 1891950796 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 09/06/2012 |
| Medicare PECOS PAC ID | 9335393297 |
|---|---|
| Medicare Enrollment ID | O20130131000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891950796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06271300 (New Jersey) | Primary |
| Provider Name | Glen W Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285697201 PECOS PAC ID: 5799729091 Enrollment ID: I20050617000101 |
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