Individual
AVI BERSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(410) 532-4040
(410) 532-4962
Mailing address
1214 S CURLEY ST, BALTIMORE, MD 21224-4859
(410) 342-5455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005739
VA
363A00000X
Physician Assistant
Primary
C0002268
MD
Other
Enumeration date
05/31/2006
Last updated
09/11/2024
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