| NPI | 1275617508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW A. BERGER Sole Practitioner 570-346-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD01016L) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-07-23 |