Individual
MICHAEL BERSHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2700 QUARRY LAKE DR STE 300, BALTIMORE, MD 21209-3746
(410) 377-8900
(410) 377-0576
Mailing address
1314 BEDFORD AVE, SUITE 108, PIKESVILLE, MD 21208-6604
(410) 484-8899
(410) 484-8569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10230
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206077
KAISER PERM PROV #
MD
01
—
215486
MAMSI PROVIDER #
MD
01
—
2713483
UNITED PROV #
MD
05
—
382298200
—
MD
01
—
85581
AMERIGROUP PROV #
MD
01
—
J061
BLUE CROSS PROV #
MD
Enumeration date
03/26/2007
Last updated
06/12/2024
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