Individual
DR. JACQUELINE GOULART BERLINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 E ELM ST, GREENWICH, CT 06830-6529
(203) 764-2230
Mailing address
20 E ELM ST, GREENWICH, CT 06830-6529
(203) 764-2230
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
65009
CT
207ND0101X
MOHS-Micrographic Surgery Physician
283512
NY
207NS0135X
Procedural Dermatology Physician
283512
NY
Other
Enumeration date
03/23/2011
Last updated
02/19/2021
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