A Jan Berlin, M.D.
Ophthalmology in Portland, ME. Individual provider (NPI-1).
NPI number1760414734
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1760414734
- Entity type
- Individual (NPI-1)
- Name
- A Jan Berlin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 012778 | ME | Yes |
Practice location
189 Park AvePortland, ME 04102-2909
Phone 207-774-6273
Mailing address
189 Park AvePortland, ME 04102-2909
Phone 207-774-6273
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