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Individual

DR. GLORIA ANA BERENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1428 DUNWOODY VILLAGE PKWY., DUNWOODY, GA 30338
(770) 394-2398
(770) 394-3055
Mailing address
1428 DUNWOODY VILLAGE PKWY., DUNWOODY, GA 30338
(770) 394-2398
(770) 394-3055

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044410
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000768226E
GA
Enumeration date
06/07/2006
Last updated
08/18/2011
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