Individual
DR. THERESA M. BERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 VIA CASITAS, GREENBRAE, CA 94904-1901
(415) 464-1771
(415) 464-1158
Mailing address
501 VIA CASITAS, GREENBRAE, CA 94904-1901
(415) 464-1771
(415) 464-1158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A48830
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A48830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A488300
—
CA
Enumeration date
02/07/2007
Last updated
02/26/2014
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