MEDICARE: DR. LANCE SETH BERGER M.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
1	207UN0901X	Nuclear Cardiology Physician	25MA07620200	NJ
2	207RC0000X	Cardiovascular Disease Physician	25MA07620200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689679490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANCE SETH BERGER M.D.

Provider Business Mailing Address
First Line	:	780 ROUTE 37 W STE 310
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-5059
Country	:	US
Telephone Number	:	732-473-0158
Fax Number	:

Provider Business Practice Location Address
First Line	:	780 ROUTE 37 W STE 310
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-5059
Country	:	US
Telephone Number	:	732-473-0158
Fax Number	:

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	09/25/2023

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