Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 17990 | NH |
NPI | 1962653543 |
---|---|
Provider Name | Dr. Diana Kaye Berger |
First Address | Norwich, VT 05055-9437 |
Second Address | Claremont, NH 03743-4940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2008 |
Last Update Date | 17/06/2020 |