Berg, Stanley
Berg, Stanley is an individual health care provider with primary practice located at 600 Midland Ave , Garfield NJ 07026. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Berg, Stanley can be contacted via phone (973) 478-1616.Contact Information
Primary practice address
600 Midland Ave
Garfield NJ 07026
Phone: (973) 478-1616
Fax: (973) 478-1732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8859 | New Jersey |
Profile Details
| NPI number | 1710995659 |
|---|---|
| LBN Legal business name | Berg, Stanley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710995659 | NPPES |
| New Jersey | MEDICAID | 4676700 |
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