Provider Demographics
NPI:1225027352
Name:BERGER, PAUL M (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:M
Last Name:BERGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5018 MEDICAL CENTER CIR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9661
Mailing Address - Country:US
Mailing Address - Phone:484-876-5649
Mailing Address - Fax:610-841-3914
Practice Address - Street 1:5018 MEDICAL CENTER CIR
Practice Address - Street 2:SUITE 240
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9661
Practice Address - Country:US
Practice Address - Phone:484-876-5649
Practice Address - Fax:610-841-3914
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2016-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD058959L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102267334Medicaid
PA50075231OtherCAPITAL BLUE CROSS
PA094128FRHMedicare PIN
PA102267334Medicaid