Berliner, Andrew Mark

Berliner, Andrew Mark is an sole proprietor health care provider with primary practice located at 246 E Main St Suite 2, Clinton CT 06413-2245. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Berliner, Andrew Mark can be contacted via phone (860) 669-1320.

Contact Information

Primary practice address
246 E Main St Suite 2 Clinton CT 06413-2245
Phone: (860) 669-1320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P00012 Connecticut

Profile Details

NPI number 1710982327
LBN Legal business name Berliner, Andrew Mark
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Oct 8th, 2010 - about 15 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 1710982327 NPPES
Connecticut Other 480000241 MEDICARE PROVIDER NUMBER
Connecticut MEDICAID 004006680 MEDICARE PROVIDER NUMBER

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