Provider Demographics
NPI:1053361303
Name:BERGER, HARRY T (MD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:T
Last Name:BERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1605 N CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 110B
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:281 N 12TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-1101
Practice Address - Country:US
Practice Address - Phone:610-377-7793
Practice Address - Fax:610-377-9241
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD021112E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA086604OtherHIGHMARK PA BLUE SHIELD
PA01056102OtherCAPITAL BLUE CROSS
PA00079839000003Medicaid
PA110190143OtherPALMETTO GBA MEDICARE
PA086604OtherHIGHMARK PA BLUE SHIELD
PA110190143OtherPALMETTO GBA MEDICARE