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Individual

DR. JAMES PAUL BERETTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., D.O.

Contact information

Practice address
2501 MEADOWVIEW LANE, SUITE 101, PELHAM, AL 35124
(205) 685-5357
(205) 685-5371
Mailing address
2501 MEADOWVIEW LANE, SUITE 101, PELHAM, AL 35124
(205) 685-5357
(205) 685-5371

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0289
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0289
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009984460
AL
Enumeration date
01/11/2006
Last updated
07/14/2010
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