person
Mr. Larry Jay Berman, USCGCORPSMAN
Military Health Care Provider in Portsmouth, New Hampshire
NPI 1114905692

Larry Jay Berman is a Military Health Care Provider based in Portsmouth, NH. Larry Jay Berman practices in Portsmouth, NH and has the professional credentials of USCGCORPSMAN. The NPI Number for Larry Jay Berman is 1114905692 and holds a License No. (New Hampshire).

The current practice location address for Larry Jay Berman is Uscgc Tahoma (Wmec-908), Portsmouth, NH and can be reached out via phone at 603-918-8735 and via fax at 207-438-6655. You can also correspond with Larry Jay Berman through the mailing address at USCGC TAHOMA (WMEC-908), PORTSMOUTH, NH - 03804-5000 (mailing address contact number: 603-918-8735).

Location: Uscgc Tahoma (Wmec-908), Portsmouth, NH, 03804-5000
person
Provider Profile Details
NPI Number
1114905692
Provider Name
Larry Jay Berman
Credential
USCGCORPSMAN
Provider Entity Type
Individual
Gender
Male
Address
Uscgc Tahoma (Wmec-908), Portsmouth, NH, 03804-5000
Phone Number
603-918-8735
Fax Number
207-438-6655
Provider Enumeration Date
01/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Uscgc Tahoma (Wmec-908)
City
State
Zip
03804-5000
Phone Number
603-918-8735
Fax Number
207-438-6655
person
Provider Business Mailing Address Details
Address
Uscgc Tahoma (Wmec-908)
City
State
Zip
03804-5000
Phone Number
603-918-8735
Fax Number
207-438-6655
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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