Provider Demographics
NPI:1083730352
Name:BERGER, MITCHELL B (MD)
Entity type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:B
Last Name:BERGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3803 W CHESTER PIKE STE 160
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2336
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1098 W BALTIMORE PIKE STE 3404
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063
Practice Address - Country:US
Practice Address - Phone:610-627-4170
Practice Address - Fax:610-627-4224
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2025-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD462838207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology