Berger, Avram Simeon

Berger, Avram Simeon is an individual health care provider with primary practice located at 333 Kennedy Dr Suite L101, Torrington CT 06790-3060. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Berger, Avram Simeon can be contacted via phone (860) 482-3513.

Contact Information

Primary practice address
333 Kennedy Dr Suite L101 Torrington CT 06790-3060
Phone: (860) 482-3513
Fax: (860) 482-3514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4357 Connecticut

Profile Details

NPI number 1063400273
LBN Legal business name Berger, Avram Simeon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated May 10th, 2021 - about 3 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 1063400273 NPPES
Connecticut MEDICAID 002043578

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