Individual
DR. ELLIS JAY BERZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4485 WILLIAM FLYNN HWY, ALLISON PARK, PA 15101-1424
(412) 492-0800
(412) 492-4057
Mailing address
4485 WILLIAM FLYNN HWY, ALLISON PARK, PA 15101-1424
(412) 492-0800
(412) 492-4057
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD056238L
PA
207L00000X
Anesthesiology Physician
Primary
MD056238L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018097570005
—
PA
Enumeration date
02/03/2006
Last updated
01/09/2008
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