Provider Demographics
NPI:1467437392
Name:BERLIN, STEVEN GRAEME-IAN (HEALTH SERVICES TECH)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:GRAEME-IAN
Last Name:BERLIN
Suffix:
Gender:M
Credentials:HEALTH SERVICES TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 LEMAY AVE
Mailing Address - Street 2:APT. A
Mailing Address - City:BUZZARDS BAY
Mailing Address - State:MA
Mailing Address - Zip Code:02542-1549
Mailing Address - Country:US
Mailing Address - Phone:508-563-7894
Mailing Address - Fax:
Practice Address - Street 1:5450 LEMAY AVE
Practice Address - Street 2:APT. A
Practice Address - City:BUZZARDS BAY
Practice Address - State:MA
Practice Address - Zip Code:02542-1549
Practice Address - Country:US
Practice Address - Phone:508-563-7894
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other