MR. Larry Jay Berman, USCG CORPSMAN

NPI #1114905692 in Portsmouth, New Hampshire

Provider Information

NPI Number: 1114905692
Entity Type: Individual
Name: MR. Larry Jay Berman, USCG CORPSMAN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider
Credential: USCG CORPSMAN
Enumeration Date: Jan 5, 2006
Last Updated: Jun 10, 2009

Practice Location

Address: USCGC TAHOMA (WMEC-908)
Address 2: C/O PNSY BUILDING 170
City: Portsmouth
State: New Hampshire
ZIP Code: 03804-5000
Phone: (603) 918-8735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X	Primary

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