Doctor Name: | DR. ZIDI BERGER |
NPI Number: | 1013068592 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | D0030848 |
Business Practice Address: | 10215 Fernwood Rd Ste 402 Bethesda, MD - 208171191 |
Business Phone Number: | 3014937880 |
Business Fax Number: | 3014939851 |
Mailing Address: | 10215 Fernwood Rd Ste 402, BETHESDA |
State: | MD |
Postal Code: | 208171191 |
Phone Number: | 3014937880 |
Fax Number: | 3014939851 |
NPI Enumeration Date: | 01/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0030848 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |