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NPI Code Detail

MEDICARE: CARY BERWALD MD

MEDICARE: CARY BERWALD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician200164NY

General Provider Information

NPI Number : 1952362188
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARY BERWALD MD
Provider Business Mailing Address
First Line : PO BOX 95000-2388
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19195-2388
Country : US
Telephone Number : 212-308-1112
Fax Number : 212-308-1616
Provider Business Practice Location Address
First Line : 50 W 77TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10024-5116
Country : US
Telephone Number : 212-579-5001
Fax Number : 917-441-3937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 10/29/2014

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