Berg, Allan W.

Berg, Allan W. is an individual health care provider with primary practice located at 40 Industrial Park Rd , Plymouth MA 02360-4884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Berg, Allan W. can be contacted via phone (508) 746-8600.

Contact Information

Primary practice address
40 Industrial Park Rd Plymouth MA 02360-4884
Fax: (508) 747-1002
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 212473 Massachusetts

Profile Details

NPI number 1730158759
LBN Legal business name Berg, Allan W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 5th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730158759 NPPES
Massachusetts MEDICAID 0189049

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