Individual
ALVIN J BERLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1089 ROUTE 390, CRESCO, PA 18326
(570) 420-2450
(570) 420-2442
Mailing address
RR4, BOX 4479, MOSCOW, PA 18444
(570) 842-0968
(570) 842-0968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005689L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS005689L
MEDICAL LICENSE
PA
Enumeration date
12/28/2005
Last updated
08/06/2018
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