Berzon, Ellis Jay

Berzon, Ellis Jay is an individual health care provider with primary practice located at 4485 William Flynn Hwy , Allison Park PA 15101-1424. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Berzon, Ellis Jay can be contacted via phone (412) 492-0800.

Contact Information

Primary practice address
4485 William Flynn Hwy Allison Park PA 15101-1424
Phone: (412) 492-0800
Fax: (412) 492-4057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD056238L Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD056238L Pennsylvania

Profile Details

NPI number 1588636625
LBN Legal business name Berzon, Ellis Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jan 9th, 2008 - about 16 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 1588636625 NPPES
Pennsylvania MEDICAID 0018097570005

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