NPI Search for Physicians and Health Care Providers
DR. LISA BERLIN M.D.
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1679643860
Individual Registrant:
DR. LISA BERLIN M.D.
Gender: F
Sole Proprietor
Location and contact information for practice:
16 HAMPSHIRE ROAD MADISON, CT 06443-2342 US
Tel: 203-245-1865 Fax: --
Contact information for business:
16 HAMPSHIRE ROAD MADISON, CT 06443-2342 US
Tel: 203-245-1865 Fax: --
Registration Information:
NPI: 1679643860
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics
| CT | 030874 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 001308742 | CT | 05 |
HEALTH CARE JOBS CT - Page 1