Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | C0001948 | MD |
N | 111NI0900X | Internist | C0001948 | MD |
N | 207RA0401X | Internist - Addiction Medicine | C0001948 | MD |
NPI | 1609811033 |
---|---|
Provider Name | Ms. Sherry A. Berglund |
First Address | Baltimore, MD 21215 |
Second Address | Baltimore, MD 21215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 03/01/2014 |