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DR. THERESA M. BERTA MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1316087612

Individual Registrant:
DR. THERESA M. BERTA MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
501 VIA CASITAS  GREENBRAE, CA 94904-1901 US
Tel: 415-464-1771  Fax: 415-464-1158

Contact information for business:
501 VIA CASITAS  GREENBRAE, CA 94904-1901 US
Tel: 415-464-1771  Fax: 415-464-1158

Registration Information:
NPI: 1316087612
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA48830
Y207RG0300XAllopathic & Osteopathic Physicians
Internal Medicine
CAA48830

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00A488300CA05




HEALTH CARE JOBS CA - Page 1



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