Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | D0025259 | MD |
NPI | 1013910454 |
---|---|
Provider Name | Dr. David S. Berliner |
First Address | Towson, MD 21286-5466 |
Second Address | Towson, MD 21286-5466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 22/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B67086 | (02) | MD |