NPI Profile for DOUGLAS T BERGER in BRONX, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Contact Lens |
156FC0800X | |||
Contact Lens Fitter |
156FC0801X |
| NPI Number | 1992862163 |
|
| Status | Active | |
| Credentials | OPTICIAN | |
| Entity | Individual | |
| Enumeration date | 01/03/2007 | |
| Last updated | 09/21/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DOUGLAS T BERGER
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