Berger, Stanley Randolph

Berger, Stanley Randolph is an sole proprietor health care provider with primary practice located at 2 Bala Plz Suite 300, Bala Cynwyd PA 19004-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Berger, Stanley Randolph can be contacted via phone (215) 660-7778.

Contact Information

Primary practice address
2 Bala Plz Suite 300 Bala Cynwyd PA 19004-1501
Phone: (215) 660-7778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD043471L Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD-043471-L Pennsylvania

Profile Details

NPI number 1821161092
LBN Legal business name Berger, Stanley Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Feb 17th, 2015 - about 9 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 1821161092 NPPES
Pennsylvania MEDICAID 0015150320002

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