Evan R Berg is a Emergency Medicine in Boston, Massachusetts. Evan R Berg practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Evan R Berg is 1982692596. The last update date is 2023-05-31.
Evan R Berg's current location address is 1 Boston Medical Ctr Pl, Boston, Massachusetts. You can contact this provider via phone number 6174145481 and fax number 6174147759. The mailing address for Evan R Berg is 1 Boston Medical Ctr Pl, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Evan R Berg |
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Address | 1 Boston Medical Ctr Pl, Boston, Massachusetts |
Phone Number | 6174145481 |
Fax Number | 6174147759 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1982692596 |
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Provider Enumeration Date | 2005-10-07 |
Last Updated Date | 2023-05-31 |
Provider Mailing Address Detail
Address | 1 Boston Medical Ctr Pl |
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City | Boston |
State | Massachusetts (MA) |
Post Code | 21182908 |
Phone Number | 6174145481 |
Fax Number | 6174147759 |
Provider's Primary Taxonomy Detail
Speciality | Emergency Medicine |
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Taxonomy | 207P00000X |
Licence No | 232041 |
Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3120664 | NH | -- | |
110007139A | MA | -- |
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What is the unique 10-digit identification code assigned to Evan R Berg by the Centers for Medicare & Medicaid Services?
The Evan R Berg has been issued the NPI (National Provider Identifier) 1982692596, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Evan R Berg located?
The Evan R Berg is located at 1 Boston Medical Ctr Pl, Boston, MA 21182908.
What is Evan R Berg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Evan R Berg's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982692596 to Evan R Berg?
The Centers for Medicare & Medicaid Services originally issued the 1982692596 to Evan R Berg on 2005-10-07.
As of what date were the details related to Evan R Berg most recently updated or revised?
The information pertaining to Evan R Berg, including its address, specialty, and other relevant details, was last updated or revised on 2023-05-31.