MEDICARE: RACHEL BERGER

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
1	208000000X	Pediatrics Physician	MD066953L	PA

General Provider Information

NPI Number	:	1679545495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BERGER

Provider Business Mailing Address
First Line	:	3420 5TH AVE
Second Line	:	ROOM 269
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 5TH AVE
Second Line	:	ROOM 269
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3205
Country	:	US
Telephone Number	:	412-692-8664
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	05/24/2021

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Directions to “ RACHEL BERGER ” Practice Location

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