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Individual

MR. LARRY JAY BERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
USCG CORPSMAN

Contact information

Practice address
USCGC TAHOMA (WMEC-908), C/O PNSY BUILDING 170, PORTSMOUTH, NH 03804-5000
(603) 918-8735
(207) 438-6655
Mailing address
USCGC TAHOMA (WMEC-908), C/O PNSY BUILDING 170, PORTSMOUTH, NH 03804-5000
(603) 918-8735
(207) 438-6655

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
01/05/2006
Last updated
06/10/2009
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