| Doctor Name: | DR. JEFFREY L BERENBERG |
| NPI Number: | 1275523250 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 9405 |
| Business Practice Address: | 1 Jarrett White Rd Mchk-dmo, Tamc Tamc, HI - 968595001 |
| Business Phone Number: | 8084334089 |
| Business Fax Number: | 8084332707 |
| Mailing Address: | 46-143 Nahiku Pl, KANEOHE |
| State: | HI |
| Postal Code: | 967443625 |
| Phone Number: | 8082359922 |
| Fax Number: | 8084332707 |
| NPI Enumeration Date: | 10/21/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0003X |
| License Number: | 9405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology & Oncology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |