Individual
BERNY J KREUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 ROCKLEDGE DR, 2200, BETHESDA, MD 20817-7837
(301) 896-6880
(301) 896-6868
Mailing address
PO BOX 791372, BALTIMORE, MD 21279
(301) 608-8375
(301) 608-3979
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0012566
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212221900
—
MD
01
—
30056
MDIPA
—
05
—
415096100
—
MD
01
—
5062BJ
BC/BS
—
Enumeration date
06/16/2005
Last updated
12/04/2012
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