# PAUL BEREZ MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326650334
- **Authorized official:** PAUL BEREZ (OWNER)
- **Authorized official phone:** (703) 307-7543

## Contact information

- **Practice address:** 2191 DEFENSE HWY STE 403, CROFTON, MD 21114-2931
- **Practice address phone:** (410) 570-7455
- **Practice address fax:** (667) 307-4909
- **Mailing address:** 1684 VILLAGE GRN, CROFTON, MD 21114-2059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/20/2020
- **Last updated:** 12/14/2020