David Harold Berman, M.d., A Medical Corporation | |
333 Marion Ave Mill Valley CA 94941-2685 | |
(415) 383-9792 | |
Not Available |
Full Name | David Harold Berman, M.d., A Medical Corporation |
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Speciality | Internal Medicine |
Location | 333 Marion Ave, Mill Valley, California |
Authorized Official Name and Position | David Harold Berman (OWNER) |
Authorized Official Contact | 4153839792 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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David Harold Berman, M.d., A Medical Corporation 333 Marion Ave Mill Valley CA 94941-2685 Ph: (415) 383-9792 | David Harold Berman, M.d., A Medical Corporation 333 Marion Ave Mill Valley CA 94941-2685 Ph: (415) 383-9792 |
NPI Number | 1134393887 |
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Provider Enumeration Date | 04/14/2008 |
Last Update Date | 04/14/2008 |
Medicare PECOS PAC ID | 3971675729 |
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Medicare Enrollment ID | O20080710000543 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134393887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G20952 (California) | Primary |
Provider Name | David H. Berman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548245921 PECOS PAC ID: 3678460706 Enrollment ID: I20080710000476 |
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