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DR. LISA BERLIN M.D.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant 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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CT030874

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
001308742CT05




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