Individual
BERTHA KOOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D56918
MD
208000000X
Pediatrics Physician
Primary
CS9810758
DC
Other
Enumeration date
07/08/2006
Last updated
02/18/2010
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