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Individual

RICHARD DANIEL BIRNBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.04

Contact information

Practice address
1150 45TH ST, WEST PALM BEACH, FL 33407-2361
(561) 514-5302
(561) 514-5540
Mailing address
10910 GRANDE BLVD, WEST PALM BEACH, FL 33412-1334
(561) 622-8596
(561) 514-5540

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME60761
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
374218100
FL
Enumeration date
06/06/2006
Last updated
12/13/2012
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