Individual
JACOB SIMON BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98195-0001
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60299176
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114242096
—
WA
Enumeration date
04/02/2010
Last updated
09/30/2014
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