# MELBA A. BERBANO MD INC

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

## Provider details

- **NPI number:** 1851409924
- **Authorized official:** MELBA BERBANO MD (OBSTETRICIAN/GYNECOLOGIST)
- **Authorized official phone:** (209) 957-5888

## Contact information

- **Practice address:** 1801 E MARCH LN, STE C320, STOCKTON, CA 95210-6676
- **Practice address phone:** (209) 957-5888
- **Practice address fax:** (209) 477-9339
- **Mailing address:** 1801 E MARCH LN STE C320, STOCKTON, CA 95210-6676
- **Mailing address phone:** (209) 957-5888
- **Mailing address fax:** (209) 477-9339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 12/31/2007