Individual
RAUL LUIS BERIO-DORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BOWMAN DRIVE, VOORHEES, NJ 08043
(856) 247-2594
(856) 247-2597
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25MA09133200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306142
—
NJ
Enumeration date
07/22/2009
Last updated
04/02/2021
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