Provider Demographics
NPI:1730668849
Name:BERLIN HEART INC
Entity Type:Organization
Organization Name:BERLIN HEART INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KROSLOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-863-9700
Mailing Address - Street 1:200 VALLEY WOOD DR STE B100
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-5406
Mailing Address - Country:US
Mailing Address - Phone:281-863-9700
Mailing Address - Fax:201-863-9701
Practice Address - Street 1:200 VALLEY WOOD DR STE B100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-5406
Practice Address - Country:US
Practice Address - Phone:281-863-9700
Practice Address - Fax:201-863-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies