Von Berg, Lara

Von Berg, Lara is an individual health care provider with primary practice located at 11 Overlook Rd Ste 100 , Summit NJ 07901-3580. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Von Berg, Lara can be contacted via phone (908) 273-1493.

Contact Information

Primary practice address
11 Overlook Rd Ste 100 Summit NJ 07901-3580
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA09617100 New Jersey

Profile Details

NPI number 1558623330
LBN Legal business name Von Berg, Lara
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Feb 22nd, 2019 - about 5 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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