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Bermann Augustin

Physician Assistant in Philadelphia, PA. Individual provider (NPI-1).

NPI number1639787914
StatusActive
Last updated in NPPESNov 6, 2022

Details

NPI
1639787914
Entity type
Individual (NPI-1)
Name
Bermann Augustin
Sex
Male
Sole proprietor
No
Enumeration date
Jul 22, 2020
Certification date
Nov 6, 2022
Last updated
Nov 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant001457-P.A.PRYes
246ZC0007X Specialist/Technologist, Other, Surgical Assistant20-292WI

Practice location

3303 S Keswick Plz
Philadelphia, PA 19114-1677

Phone 267-461-4340

Mailing address

3303 S Keswick Plz
Philadelphia, PA 19114-1677

Phone 267-461-4340

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