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Gary M Berke Ms, Cp
Prosthetic/Orthotic Supplier in San Mateo, California
NPI 1467635367

Gary M Berke Ms, Cp is a Prosthetic/Orthotic Supplier based in San Mateo, CA. Gary M Berke Ms, Cp practices in San Mateo, CA. The NPI Number for Gary M Berke Ms, Cp is 1467635367 and holds a License No. (California).

The current practice location address for Gary M Berke Ms, Cp is 2001 Winward Way, San Mateo, CA and can be reached out via phone at 650-365-5861 and via fax at 650-365-5896.

Location: 2001 Winward Way, San Mateo, CA, 94404-2499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467635367
Provider Name
Gary M Berke Ms, Cp
Credential
Provider Entity Type
Organization
Address
2001 Winward Way, San Mateo, CA, 94404-2499
Phone Number
650-365-5861
Fax Number
650-365-5896
Provider Enumeration Date
12/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XB0016280 01 CA MEDICAL
XB0016280 05 CA
institution
Provider Business Practice Location Address Details
Address
2001 Winward Way
City
San Mateo
State
California
Zip
94404-2499
Phone Number
650-365-5861
Fax Number
650-365-5896
person
Provider Business Mailing Address Details
Address
2001 Winward Way
City
San Mateo
State
California
Zip
94404-2499
Phone Number
650-365-5861
Fax Number
650-365-5896
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
CP1628 ()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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