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Individual

HUGH E BERCKMUELLER

Active
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Individual

HUGH E BERCKMUELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101056628
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00630876
VA
01
22805
OPTIMA
VA
01
282367
MAMSI/OPTIMUM CHOICE
VA
01
317213
BLUE CROSS BLUE SHIELD
VA
Enumeration date
09/20/2005
Last updated
09/16/2010
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