Berlin, Ross
Berlin, Ross is an sole proprietor health care provider with primary practice located at 61 W. Jimmie Leeds Road , Pomona NJ 08240-0723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Berlin, Ross can be contacted via phone (609) 748-5380.Contact Information
Primary practice address
61 W. Jimmie Leeds Road
Pomona NJ 08240-0723
Phone: (609) 748-5380
Fax: (609) 652-8749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MA62121 | New Jersey |
Profile Details
| NPI number | 1013088095 |
|---|---|
| LBN Legal business name | Berlin, Ross |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Dec 20th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013088095 | NPPES |
| New Jersey | MEDICAID | 6614507 |
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