BARRY W BERGER (Credential# 1161724) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BARRY W BERGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052138-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 4626 N Borgatello Ln, Phoenix, AZ 85018-3002. The current status is active.
| Licensee Name | BARRY W BERGER |
| Credential ID | 1161724 |
| Credential Number | 1.052138-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
4626 N Borgatello Ln Phoenix AZ 85018-3002 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-06-20 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-10 |
| Street Address | 4626 N BORGATELLO LN |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-3002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Piyush Gupta | 3501 N 35th Place, Phoenix, AZ 85018 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jeffrey L Cutberth | 3626 E. Camelback Road, Phoenix, AZ 85018 | Architect | 2018-08-14 ~ 2019-07-31 |
| Mark Mascia | 3943 N 45th Place, Phoenix, AZ 85018 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Juliane Hayashi | 4201 N 35th Way, Phoenix, AZ 85018 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Jennifer Anne Mcdaniel | 4925 E Osborn Rd, Phoenix, AZ 85018 | Controlled Substance Registration for Practitioner | 2019-01-08 ~ 2021-02-28 |
| Victoria Leigh Pacheco | 4045 E E Arrl Dr, Phoenix, AZ 85018 | Registered Nurse | 2017-08-01 ~ 2018-07-31 |
| Elizabeth H Steves · Hillshire House Inc | 5110 North 32nd St, Phoenix, AZ 85018 | Real Estate Salesperson | 2001-06-01 ~ 2002-05-31 |
| John K Crowe | 4740 East Mariposa St., Phoenix, AZ 85018 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| Roberto I Bracamonte Md | Valley Hospital, Phoenix, AZ 85018 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Thomas K Wagner | 4140 North 44th St/ste 102, Phoenix, AZ 85018 | Architect | 2012-08-01 ~ 2013-07-31 |
| Find all Licenses in zip 85018 | |||
| City | PHOENIX |
| Zip Code | 85018 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PHOENIX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Berger | 210 Monitor Rd, Portsmouth, VA 23707-1020 | Physician/surgeon | 1958-08-25 ~ 1989-05-31 |
| Elizabeth Ann Berger | 170 Woodland Dr, Cromwell, CT 06416-1162 | Physician/surgeon | 1980-12-02 ~ 1982-12-31 |
| Robert H Berger Md | 116 Compo Rd S, Westport, CT 06880-5009 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gary S Berger | 114 E 71st St Ste 1w, New York, NY 10021-5038 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Ronald O Berger | 179 Ledge Dr, Torrington, CT 06790-2241 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jose M Berger | 20 Brownell St, New Haven, CT 06511-4006 | Physician/surgeon | 1983-07-29 ~ 1988-02-29 |
| Scott B Berger Md | 42 Lake Avenue Ext Ste 266, Danbury, CT 06811-5279 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert M Berger Md | 275 Bicentennial Highway, Springfield, MA 01118 | Physician/surgeon | 2004-03-15 ~ 2005-04-30 |
| Paul S Berger | 16 Upland Road, Stamford, CT 06906 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Scott R Berger | 62 Jacobs Hill Rd, Mansfield, CT 06250 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).