Individual
DESSIREE BERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 OSTRUM ST, FOUNTAIN HILL, PA 18015-1155
(484) 526-6000
Mailing address
701 OSTRUM ST, FOUNTAIN HILL, PA 18015-1155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057131
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103189180
—
PA
01
—
13565903
CAQH
—
Enumeration date
09/16/2014
Last updated
09/24/2025
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