| Doctor Name: | MR. THOMAS MICHAEL BERGE |
| NPI Number: | 1881815694 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APN-C |
| License Number: | 0024167356 |
| Business Practice Address: | 330 West Front Street Elmer Family Practice Elmer, NJ - 083182143 |
| Business Phone Number: | 8563580770 |
| Business Fax Number: | |
| Mailing Address: | 403 Bethel Rd, SOMERS POINT |
| State: | NJ |
| Postal Code: | 082442108 |
| Phone Number: | 6099278746 |
| Fax Number: | 6096011406 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 12/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024167356 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |