Provider Demographics
NPI:1750465266
Name:BERGER, ALAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:S
Last Name:BERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:60 WEST GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401
Mailing Address - Country:US
Mailing Address - Phone:610-279-1414
Mailing Address - Fax:610-279-4725
Practice Address - Street 1:60 W GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401
Practice Address - Country:US
Practice Address - Phone:610-279-7878
Practice Address - Fax:610-279-1680
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021276E207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015625OtherKEYSTONE MERCY
PABE086630OtherPA BLUE SHIELD
PA0831646Medicaid
PABE086630OtherPA BLUE SHIELD
PA1015625OtherKEYSTONE MERCY