Healthcare Provider Details

I. General information

NPI: 1770555815
Provider Name (Legal Business Name): ALAN BERG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 04/06/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 6TH AVE 4TH FLOOR
PITTSBURGH PA
15222-2517
US

IV. Provider business mailing address

339 6TH AVE 4TH FLOOR
PITTSBURGH PA
15222-2517
US

V. Phone/Fax

Practice location:
  • Phone: 412-560-8888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD040050E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: