John Lee Berger in Fair Lawn - Specialist

John Lee Berger - NPI 1215999784

John Lee Berger is a Specialist in Fair Lawn, New Jersey. John Lee Berger practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Lee Berger is 1215999784. The last update date is 2008-03-17.

John Lee Berger's current location address is 15-01 Broadway, Fair Lawn, New Jersey. You can contact this provider via phone number 2017946008 and fax number 2017946190. The mailing address for John Lee Berger is 15-01 Broadway, Fair Lawn, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name John Lee Berger
Address 15-01 Broadway, Fair Lawn, New Jersey
Phone Number 2017946008
Fax Number 2017946190
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1215999784
Provider Enumeration Date 2006-04-03
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address 15-01 Broadway
City Fair Lawn
State New Jersey (NJ)
Post Code 74106003
Phone Number 2017946008
Fax Number 2017946190

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA038142
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
475801 NJ --

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FAQs about John Lee Berger

What is the unique provider identifier assigned to John Lee Berger?

The John Lee Berger has been issued the NPI (National Provider Identifier) 1215999784 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where John Lee Berger's facilities are geographically located?

The facilities of John Lee Berger are physically situated at the following location: 15-01 Broadway, Fair Lawn, NJ, 74106003.

What is John Lee Berger's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Lee Berger's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1215999784 to John Lee Berger?

The Centers for Medicare & Medicaid Services assigned the 1215999784 to John Lee Berger on 2006-04-03.

When was the John Lee Berger's information last updated?

The John Lee Berger's information was last updated on 2008-03-17.

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