Individual provider · NPI-1
Dr. Berge Marcarian, M.D.
Otolaryngology · Lake City, FL
NPI number1184789893
StatusActive
Last updated in NPPESJul 17, 2007
Details
- NPI
- 1184789893
- Entity type
- Individual (NPI-1)
- Name
- Dr. Berge Marcarian
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2006
- Last updated
- Jul 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | ME71870 | FL | Yes |
| 207YX0905X | Otolaryngology, Otolaryngology/Facial Plastic Surgery | ME71870 | FL |
Practice location
4551 W Us Highway 90Suite 101
Lake City, FL 32055-4879
Phone 386-719-9993 · Fax 386-719-4744
Mailing address
Po Box 1359Lake City, FL 32056-1359
Phone 386-719-9993 · Fax 386-719-4744
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.