Provider Demographics
NPI:1013910454
Name:BERLINER, DAVID S (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:BERLINER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:515 FAIRMOUNT AVE
Mailing Address - Street 2:# 340
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5466
Mailing Address - Country:US
Mailing Address - Phone:410-494-1397
Mailing Address - Fax:410-584-2257
Practice Address - Street 1:515 FAIRMOUNT AVE
Practice Address - Street 2:STE 400
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5466
Practice Address - Country:US
Practice Address - Phone:410-494-1397
Practice Address - Fax:410-584-2247
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2019-07-22
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Provider Licenses
StateLicense IDTaxonomies
MDD0025259207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB67086Medicare UPIN
1439230ZR0ZMedicare PIN