Provider Demographics
NPI:1881666337
Name:BERLINER, ADAM RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:RICHARD
Last Name:BERLINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:5601 LOCH RAVEN BLVD
Mailing Address - Street 2:STE 3 NORTH, NEPHROLOGY CENTER OF MARYLAND
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2905
Mailing Address - Country:US
Mailing Address - Phone:443-444-3775
Mailing Address - Fax:443-444-4678
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:STE 3 NORTH, NEPHROLOGY CENTER OF MARYLAND
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2905
Practice Address - Country:US
Practice Address - Phone:443-444-3775
Practice Address - Fax:443-444-4678
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0063645207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD409948600Medicaid
65122601OtherBLUE SHIELD
65122601OtherBLUE SHIELD