Jeffrey a Berenson MD a Professional Corporation

NPI #1881625671 in Mendocino, California

Provider Information

NPI Number: 1881625671
Entity Type: Organization
Organization Name: Jeffrey a Berenson MD a Professional Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Jul 6, 2006
Last Updated: Apr 14, 2008

Practice Location

Address: 45081 LITTLE LAKE STREET
City: Mendocino
State: California
ZIP Code: 95460
Phone: (707) 937-1055

Authorized Official

Name: DR. JEFFREY A BERENSON, MD
Title: CEO OWNER
Phone: (707) 937-1055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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