Provider Demographics
NPI:1427077940
Name:BERGER, BRUCE ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ALAN
Last Name:BERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1335 W TABOR RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3038
Mailing Address - Country:US
Mailing Address - Phone:215-424-0222
Mailing Address - Fax:215-424-8960
Practice Address - Street 1:1335 W TABOR RD
Practice Address - Street 2:SUITE 201
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19141-3038
Practice Address - Country:US
Practice Address - Phone:215-424-0222
Practice Address - Fax:215-424-8960
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD012801E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology