Individual
A JAN BERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
189 PARK AVE, PORTLAND, ME 04102-2909
(207) 774-6273
Mailing address
189 PARK AVE, PORTLAND, ME 04102-2909
(207) 774-6273
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
012778
ME
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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