Berenson, Gloria Ana

Berenson, Gloria Ana is an individual health care provider with primary practice located at 1428 Dunwoody Village Pkwy. , Dunwoody GA 30338. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Berenson, Gloria Ana can be contacted via phone (770) 394-2398.

Contact Information

Primary practice address
1428 Dunwoody Village Pkwy. Dunwoody GA 30338
Phone: (770) 394-2398
Fax: (770) 394-3055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 044410 Georgia

Profile Details

NPI number 1497795512
LBN Legal business name Berenson, Gloria Ana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 18th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497795512 NPPES
Georgia MEDICAID 000768226E

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