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NPI Code Detail

MEDICARE: BERNARD H. BERGER MSW

MEDICARE:   BERNARD H. BERGER  MSW
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1679629166
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARD H. BERGER MSW
Provider Business Mailing Address
First Line : 376 ELLIS ST
Second Line : #103
City : SAN FRANCISCO
State : CA
Zip : 94102-2741
Country : US
Telephone Number : 415-238-6131
Fax Number :
Provider Business Practice Location Address
First Line : 890 HAYES ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94117-2615
Country : US
Telephone Number : 415-701-5116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/08/2007

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Directions to “ BERNARD H. BERGER MSW” Practice Location

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