Individual
DR. LISA BERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16 HAMPSHIRE ROAD, MADISON, CT 06443-2342
(203) 245-1865
Mailing address
16 HAMPSHIRE ROAD, MADISON, CT 06443-2342
(203) 245-1865
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
030874
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001308742
—
CT
Enumeration date
11/08/2006
Last updated
05/22/2014
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