Individual
DR. ELLEN S BERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 LYTTON AVE, SUITE M059, PITTSBURGH, PA 15213-1481
(412) 623-8905
(412) 623-8906
Mailing address
120 LYTTON AVE, SUITE M059, PITTSBURGH, PA 15213-1481
(412) 623-8905
(412) 623-8906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD040062E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011722700008
—
PA
05
—
0011722700012
—
PA
Enumeration date
02/23/2006
Last updated
07/12/2011
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