Berg, Roger A

Berg, Roger A is an individual health care provider with primary practice located at 100 Madison Ave , Morristown NJ 07960-6136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Berg, Roger A can be contacted via phone (973) 267-1274.

Contact Information

Primary practice address
100 Madison Ave Morristown NJ 07960-6136
Fax: (973) 267-2912
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA02021300 New Jersey

Profile Details

NPI number 1184720559
LBN Legal business name Berg, Roger A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Feb 2nd, 2017 - about 7 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 1184720559 NPPES
New Jersey MEDICAID 4963008

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