Individual
DR. BERTRAND BEHMLOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-7383
(570) 271-7384
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A102580
CA
207R00000X
Internal Medicine Physician
101240475
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD450465
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101240475
LICENSE
VA
01
—
A102580
CALIFORNIA LICENSE
CA
Enumeration date
11/20/2006
Last updated
07/31/2020
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