NPI 1760414734 · live from the CMS NPI Registry
A Jan Berlin, M.D.
Ophthalmology in Portland, ME. National Provider Identifier 1760414734, active.
NPI record
| NPI | 1760414734 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 189 Park Ave, Portland, ME 04102 |
| Practice phone | 207-774-6273 |
| Enumerated | July 7, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 012778 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.