Dr. Eugene Elliot Berg
Sports Medicine Orthopaedic Surgeon
4 Hawthorne Dr
Bedford
, New Hampshire 03110-6912
Dr. Eugene Elliot Berg
Sports Medicine Orthopaedic Surgeon
4 Hawthorne Dr
Bedford
, New Hampshire 03110-6912
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Eugene Elliot Berg
- 294 Charles Bancroft Hwy
- Litchfield, NH
- Zip : 03052-2309
- Phone :
Second Address
- Dr. Eugene Elliot Berg
- 4 Hawthorne Dr
- Bedford, NH
- Zip : 03110-6912
- Fax : (603) 472-9090
- Phone : (603) 472-8888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 9793 | NH |
National Provider Identifier
| NPI | 1073506523 |
|---|---|
| Provider Name | Dr. Eugene Elliot Berg |
| First Address | Litchfield, NH 03052-2309 |
| Second Address | Bedford, NH 03110-6912 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2005 |
| Last Update Date | 17/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30010506 | (05) | NH |
| E06798 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.