Berg, Elijah

Berg, Elijah is an individual health care provider with primary practice located at 585 Lebanon St , Melrose MA 02176-3225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Berg, Elijah can be contacted via phone (781) 979-3000.

Contact Information

Primary practice address
585 Lebanon St Melrose MA 02176-3225
Phone: (781) 979-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 153206 Massachusetts

Profile Details

NPI number 1902875107
LBN Legal business name Berg, Elijah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Feb 21st, 2014 - about 10 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 1902875107 NPPES
Massachusetts MEDICAID 3175677
Massachusetts Other J17949

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