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Contact Information

KEVIN J BERG, MD
799 BLOOMFIELD AVE
SUITE 201
VERONA, NJ07044-1367
 Phone: 973-746-7050
 Fax: 973-259-3569
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEVIN J BERG · (Male)

NPI # 1124285176
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2008
Last updated 03/01/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA08660100
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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