Individual
WALLACE BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 620-4467
Mailing address
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3009, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89127U1
—
NC
Enumeration date
12/19/2006
Last updated
10/30/2007
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