Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | N3492 | TX |
N | 207ND0101X | MOHS-Micrographic Surgeon | N3492 | TX |
N | 207NS0135X | Procedural Dermatology | N3492 | TX |
NPI | 1053499301 |
---|---|
Provider Name | Alexander L Berlin |
First Address | Arlington, TX 76012-2515 |
Second Address | Arlington, TX 76012-2515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 23/10/2015 |