MEDICARE: DR. ROBERT H. BERLAND 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	2084V0102X	Vascular Neurology Physician	13292	CT

General Provider Information

NPI Number	:	1265409726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT H. BERLAND M.D.

Provider Business Mailing Address
First Line	:	100 WELLS ST
Second Line	:	SUITE1B
City	:	HARTFORD
State	:	CT
Zip	:	06103-2928
Country	:	US
Telephone Number	:	860-278-8937
Fax Number	:	860-244-2452

Provider Business Practice Location Address
First Line	:	100 WELLS ST
Second Line	:	SUITE1B
City	:	HARTFORD
State	:	CT
Zip	:	06103-2928
Country	:	US
Telephone Number	:	860-278-8937
Fax Number	:	860-244-2452

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	03/09/2011

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