Individual provider · NPI-1

Richard Daniel Birnberg, M.D.04

Family Medicine, Adult Medicine · West Palm Beach, FL

NPI number1679512511
StatusActive
Last updated in NPPESDec 13, 2012

Details

NPI
1679512511
Entity type
Individual (NPI-1)
Name
Richard Daniel Birnberg
Credential
M.D.04
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 6, 2006
Last updated
Dec 13, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult MedicineME60761FLYes

Practice location

1150 45th St
West Palm Beach, FL 33407-2361

Phone 561-514-5302 · Fax 561-514-5540

Mailing address

10910 Grande Blvd
West Palm Beach, FL 33412-1334

Phone 561-622-8596 · Fax 561-514-5540

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