NPI 1982903449 · live from the CMS NPI Registry
Jacqueline Goulart Berliner, MD
Dermatology in Greenwich, CT. National Provider Identifier 1982903449, active.
NPI record
| NPI | 1982903449 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 20 E Elm St, Greenwich, CT 06830 |
| Practice phone | 203-764-2230 |
| Enumerated | March 23, 2011 |
| Last updated | February 19, 2021 |
| Sole proprietor | No |
| Other names | Jacqueline Goulart |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Procedural Dermatology | 207NS0135X | 283512 (NY) |
| Dermatology primary | 207N00000X | 65009 (CT) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 283512 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.