Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 35-050886 | ND |
NPI | 1275554776 |
---|---|
Provider Name | Melvin N Berger |
First Address | Shaker Hts, OH 44122-5203 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 29/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000028073 | ANTHEM (01) | OH |
000000221094 | UNISON (01) | OH |
000000525881 | ANTHEM (01) | OH |
0011201010003 | PA MEDICAID (01) | PA |
0562958 | (05) | OH |
0562958 | BCMH (01) | OH |
10025555600 | NE MEDICAID (01) | NE |
363425 | WELLCARE (01) | OH |
370001899 | RAILROAD MEDICARE (01) | OH |
3810012322 | WV MEDICAID (01) | WV |
639478 | AETNA (01) | OH |
738034 | BUCKEYE (01) | OH |
A15894 | (02) | OH |
P00412298 | RAILROAD MEDICARE (01) | OH |