Provider Demographics
NPI:1497884654
Name:BERLINER, ADAM M (DO)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:M
Last Name:BERLINER
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Gender:M
Credentials:DO
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Mailing Address - Street 1:8035 PROVIDENCE RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-9716
Mailing Address - Country:US
Mailing Address - Phone:704-542-3988
Mailing Address - Fax:855-529-0584
Practice Address - Street 1:8035 PROVIDENCE RD
Practice Address - Street 2:SUITE 340
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-9716
Practice Address - Country:US
Practice Address - Phone:704-542-3988
Practice Address - Fax:855-529-0584
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2016-09-20
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Provider Licenses
StateLicense IDTaxonomies
NC2010-01017208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1497884654OtherINDIVIDUAL NPI
NC1497884654OtherINDIVIDUAL NPI