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NPI Code Detail

MEDICARE: DR. EMILE TOBIAS BERK PH.D.

MEDICARE:  DR. EMILE TOBIAS BERK  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist35SI00587100NJ

General Provider Information

NPI Number : 1285140939
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILE TOBIAS BERK PH.D.
Provider Business Mailing Address
First Line : 440 WEST ST # 322
Second Line :
City : FORT LEE
State : NJ
Zip : 07024-5028
Country : US
Telephone Number : 201-677-8076
Fax Number :
Provider Business Practice Location Address
First Line : 440 WEST ST # 323
Second Line :
City : FORT LEE
State : NJ
Zip : 07024-5028
Country : US
Telephone Number : 347-879-0202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2017
Last Update Date : 12/11/2020

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Directions to “ DR. EMILE TOBIAS BERK PH.D.” Practice Location

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