Individual
DR. JACOB H BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
297 INDEPENDENCE BLVD, SUITE 126, VIRGINIA BEACH, VA 23462-2911
(757) 385-0511
(757) 497-6201
Mailing address
4833 EASTWIND RD, VIRGINIA BEACH, VA 23464-3144
(757) 467-2143
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101040895
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945395
—
VA
01
—
O85677M
PHYSICIAN
VA
Enumeration date
10/25/2006
Last updated
09/24/2009
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