Berg, Marc David

Berg, Marc David is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Berg, Marc David can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Phone: (650) 497-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G146366 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X G146366 California

Profile Details

NPI number 1780657122
LBN Legal business name Berg, Marc David
Credentials MD, FAAP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Apr 10th, 2024 - about last year

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 1780657122 NPPES
Arizona Other 370019429 RR MEDICARE
Arizona Other ZWCGCR RR MEDICARE
Arizona MEDICAID 344549 RR MEDICARE

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