Jonathan Benjamin Berg in Glens Falls - Family Medicine
Jonathan Benjamin Berg - NPI 1447244371
Jonathan Benjamin Berg is a Family Medicine in Glens Falls, New York. Jonathan Benjamin Berg practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jonathan Benjamin Berg is 1447244371. The last update date is 2010-09-10.
Jonathan Benjamin Berg's current location address is 100 Park St, Glens Falls, New York. You can contact this provider via phone number 5187610300 and fax number 5187928231. The mailing address for Jonathan Benjamin Berg is 100 Park St, Glens Falls, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Benjamin Berg |
|---|---|
| Address | 100 Park St, Glens Falls, New York |
| Phone Number | 5187610300 |
| Fax Number | 5187928231 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1447244371 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2010-09-10 |
Provider Mailing Address Detail
| Address | 100 Park St |
|---|---|
| City | Glens Falls |
| State | New York (NY) |
| Post Code | 128014413 |
| Phone Number | 5187610300 |
| Fax Number | 5187928231 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 228061-1 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Jonathan Benjamin Berg by the Centers for Medicare & Medicaid Services?
The Jonathan Benjamin Berg has been issued the NPI (National Provider Identifier) 1447244371. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jonathan Benjamin Berg?
The Jonathan Benjamin Berg is situated at 100 Park St, in the city of Glens Falls, state of NY, with the zip code 128014413.
What is Jonathan Benjamin Berg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jonathan Benjamin Berg's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did Jonathan Benjamin Berg receive its 1447244371 assignment?
The Jonathan Benjamin Berg was assigned its 1447244371 on 2005-09-07, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jonathan Benjamin Berg most recently updated or revised?
The information pertaining to Jonathan Benjamin Berg, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-10.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN