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Individual

MR. MICHAEL JEROME BERARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7305 BALTIMORE AVE, #107, COLLEGE PARK, MD 20740
(301) 864-2100
(301) 864-5057
Mailing address
7305 BALTIMORE AVE, #107, COLLEGE PARK, MD 20740
(301) 864-2100
(301) 864-5057

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0026287
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137231900
MD
Enumeration date
08/01/2006
Last updated
04/26/2011
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