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1902804313
GEOFFREY HERBST BERG
PROVIDENCE, RI
NPI
1902804313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI 05035)
Enumeration Date
2005-07-09
Last Update Date
2012-06-06
Business Address
-- GEOFFREY HERBST BERG MD
160 WAYLAND AVE
PROVIDENCE, RI 02906-4304
Phone number: 401-521-1221
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Mailing Address
-- GEOFFREY HERBST BERG MD
160 WAYLAND AVE
PROVIDENCE, RI 02906-4304
Phone number: 401-521-1221
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