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Jacob Berman, M.D.

Dermatology in Tacoma, WA. Individual provider (NPI-1).

NPI number1962897595
StatusActive
Last updated in NPPESJun 15, 2021

Details

NPI
1962897595
Entity type
Individual (NPI-1)
Name
Jacob Berman
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 31, 2015
Certification date
Jun 15, 2021
Last updated
Jun 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyMD60981056WAYes

Practice location

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265

Phone 253-596-3300 · Fax 253-596-3301

Mailing address

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265

Phone 253-596-3300 · Fax 253-596-3301

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