Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | MD041916 | DC |
NPI | 1285992941 |
---|---|
Provider Name | Dr. Seth Ian Berger |
First Address | Washington, DC 20010-2916 |
Second Address | Washington, DC 20010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2012 |
Last Update Date | 06/09/2018 |