Individual
BERMANN AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3303 S KESWICK PLZ, PHILADELPHIA, PA 19114-1677
(267) 461-4340
Mailing address
3303 S KESWICK PLZ, PHILADELPHIA, PA 19114-1677
(267) 461-4340
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
20-292
WI
363A00000X
Physician Assistant
Primary
001457-P.A.
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-292
—
WI
Enumeration date
07/22/2020
Last updated
11/06/2022
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