Individual provider · Type 1 NPI
Larry Jay Berman, USCG CORPSMAN
Military Health Care Provider · Portsmouth, NH
NPI number
1114905692
Active
Practice location
Uscgc Tahoma (WMEC-908), C/o Pnsy Building 170
Portsmouth, NH 03804-5000
Fax (207) 438-6655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1114905692
Larry Jay Berman, USCG CORPSMAN's National Provider Identifier is 1114905692, issued on Jan 5, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Portsmouth, NH. The record was last updated on Jun 10, 2009.