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NPI Code Detail

MEDICARE: DR. JESSICA R BERLET MD

MEDICARE: DR. JESSICA R BERLET 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
12084P0800XPsychiatry Physician25MA06138200NJ

Other Identifiers

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

General Provider Information

NPI Number : 1689630261
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA R BERLET MD
Provider Business Mailing Address
First Line : 252 ROUTE 601
Second Line :
City : BELLE MEAD
State : NJ
Zip : 08502-3923
Country : US
Telephone Number : 908-281-1363
Fax Number : 908-281-1677
Provider Business Practice Location Address
First Line : 252 ROUTE 601
Second Line :
City : BELLE MEAD
State : NJ
Zip : 08502-3923
Country : US
Telephone Number : 908-281-1363
Fax Number : 908-281-1677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2006
Last Update Date : 07/08/2007

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