Organization
ZOYA BERENSON MD PC-GREATER NE MEDICAL GROUP
Active
Other names
Zoya Berenson MD PC-Greater NE Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZOYA BERENSON MD (PRESIDENT)
(215) 464-6104
Entity
Organization
Contact information
Practice address
2000 GRANT AVE STE 201, PHILADELPHIA, PA 19115-4378
(215) 464-6104
(215) 464-9104
Mailing address
2000 GRANT AVE STE 201, PHILADELPHIA, PA 19115-4378
(215) 464-6104
(215) 464-9104
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017423170002
—
PA
Enumeration date
06/08/2006
Last updated
03/24/2023
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