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Individual

DR. ANDREW MARK BERLINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
246 E MAIN ST, SUITE 2, CLINTON, CT 06413-2245
(860) 669-1320
Mailing address
7 LIBERTY VILLAGE, CLINTON, CT 06413
(860) 669-4304

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P00012
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004006680
CT
01
480000241
MEDICARE PROVIDER NUMBER
CT
Enumeration date
06/20/2005
Last updated
10/08/2010
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