Doctor Name: | JOHN D BERLINGERI |
NPI Number: | 1023147451 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | PA00745 |
Business Practice Address: | 2825 E Barnett Rd Medford, OR - 975048332 |
Business Phone Number: | 5417897000 |
Business Fax Number: | |
Mailing Address: | 100 E Main St, Suite C MEDFORD |
State: | OR |
Postal Code: | 975016041 |
Phone Number: | 5417897000 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA00745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |