Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ethan Berg

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881414779

Mr. Ethan Berg is a Student in an Organized Health Care Education/Training Program in Bethesda, Maryland. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4301 Jones Bridge Rd
Bethesda, MD 20814-4799
Phone: (800) 515-5257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1881414779
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 15, 2024
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address4301 Jones Bridge Rd, Bethesda, MD 20814-4799

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