MEDICARE: JOSEPH A. BERRANG 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
1	207Q00000X	Family Medicine Physician	MD418265	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659459196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A. BERRANG MD

Provider Business Mailing Address
First Line	:	13 SAINT ALBANS CIR
Second Line	:	SUITE C
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-3622
Country	:	US
Telephone Number	:	484-422-8647
Fax Number	:	484-422-8648

Provider Business Practice Location Address
First Line	:	13 SAINT ALBANS CIRCLE
Second Line	:	SUITE C
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-3622
Country	:	US
Telephone Number	:	484-422-8647
Fax Number	:	484-422-8648

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	02/15/2016

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