Provider Demographics
NPI:1326073677
Name:BERK, SETH H (MD)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:H
Last Name:BERK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MAIN ST STE 601
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-7083
Mailing Address - Country:US
Mailing Address - Phone:609-702-1900
Mailing Address - Fax:609-702-8455
Practice Address - Street 1:350 YOUNG AVE STE 200
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3146
Practice Address - Country:US
Practice Address - Phone:609-702-1900
Practice Address - Fax:609-702-8455
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA070603207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
830006836OtherRAILROAD MEDICARE
2338733OtherAETNA
NJ8225508Medicaid
830006836OtherRAILROAD MEDICARE
NJ8225508Medicaid