Organization
GARY M BERKE MS, CP
Active
Other names
Berke Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
GARY M BERKE MS, CP (OWNER)
(650) 365-5861
Entity
Organization
Contact information
Practice address
2001 WINWARD WAY, SUITE 100, SAN MATEO, CA 94404-2499
(650) 365-5861
(650) 365-5896
Mailing address
2001 WINWARD WAY, SUITE 100, SAN MATEO, CA 94404-2499
(650) 365-5861
(650) 365-5896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
CP1628
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP1628
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XB0016280
MEDICAL
CA
05
—
XB0016280
—
CA
Enumeration date
12/13/2007
Last updated
07/21/2022
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