1861614612 NPI number — DR. CHRISTINE DOROTHY BERG M.D.

Table of content: DR. CHRISTINE DOROTHY BERG M.D. (NPI 1861614612)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861614612 NPI number — DR. CHRISTINE DOROTHY BERG M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BERG
Provider First Name:
CHRISTINE
Provider Middle Name:
DOROTHY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861614612
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
EXECUTIVE PLAZA NORTH, ROOM 3100
Provider Second Line Business Mailing Address:
6130 EXECUTIVE BLVD.
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20892-7346
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-496-8544
Provider Business Mailing Address Fax Number:
301-480-0465

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
EXECUTIVE PLAZA NORTH, ROOM 3100
Provider Second Line Business Practice Location Address:
6130 EXECUTIVE BLVD.
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20892-7346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-496-8544
Provider Business Practice Location Address Fax Number:
301-480-0465
Provider Enumeration Date:
05/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  D28954 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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