MEDICARE: DR. DAVID S. BERLINER M.D.

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
1	207RC0000X	Cardiovascular Disease Physician	D0025259	MD

General Provider Information

NPI Number	:	1013910454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID S. BERLINER M.D.

Provider Business Mailing Address
First Line	:	515 FAIRMOUNT AVE
Second Line	:	# 340
City	:	TOWSON
State	:	MD
Zip	:	21286-5466
Country	:	US
Telephone Number	:	410-494-1397
Fax Number	:	410-584-2257

Provider Business Practice Location Address
First Line	:	515 FAIRMOUNT AVE
Second Line	:	STE 400
City	:	TOWSON
State	:	MD
Zip	:	21286-5466
Country	:	US
Telephone Number	:	410-494-1397
Fax Number	:	410-584-2247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/22/2019

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