Berg, Robert A

Berg, Robert A is an individual health care provider with primary practice located at 3401 Civic Center Blvd Ste 9329 , Philadelphia PA 19104-4319. 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, Robert A can be contacted via phone (215) 590-1858.

Contact Information

Primary practice address
3401 Civic Center Blvd Ste 9329 Philadelphia PA 19104-4319
Phone: (215) 590-1858
Fax: (215) 590-1415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD434817 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 10695 Arizona
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD434817 Pennsylvania

Profile Details

NPI number 1639142086
LBN Legal business name Berg, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jun 1st, 2023 - 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 1639142086 NPPES
Pennsylvania MEDICAID 1021962790001
Pennsylvania Other 132339EMD
Pennsylvania MEDICAID 277021
Pennsylvania Other ZWCGCR

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