Gary M Berke Ms, Cp in San Mateo - Prosthetic/orthotic Supplier
Gary M Berke Ms, Cp - NPI 1467635367
Gary M Berke Ms, Cp is a Prosthetic/orthotic Supplier in San Mateo, California. Gary M Berke Ms, Cp practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Gary M Berke Ms, Cp is 1467635367. The last update date is 2022-07-21.
Gary M Berke Ms, Cp's current location address is 2001 Winward Way, San Mateo, California. You can contact this provider via phone number 6503655861 and fax number 6503655896. The mailing address for Gary M Berke Ms, Cp is 2001 Winward Way, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gary M Berke Ms, Cp |
|---|---|
| Address | 2001 Winward Way, San Mateo, California |
| Phone Number | 6503655861 |
| Fax Number | 6503655896 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Berke M Gary |
| Credentials | MS, CP |
| Telephone Number | 6503655861 |
NPI Number Detail
| NPI Number | 1467635367 |
|---|---|
| Provider Enumeration Date | 2007-12-13 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2001 Winward Way |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 944042499 |
| Phone Number | 6503655861 |
| Fax Number | 6503655896 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | CP1628 |
|
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 f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| XB0016280 | CA | MEDICAL | |
| XB0016280 | CA | -- |
Post Comment/ Review Below
What is the Gary M Berke Ms, Cp's unique identification number?
The Gary M Berke Ms, Cp has been assigned the NPI (National Provider Identifier) Number 1467635367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Gary M Berke Ms, Cp is physically located?
The Gary M Berke Ms, Cp is physically situated at the following address: 2001 Winward Way, San Mateo, CA, 944042499.
What is the Gary M Berke Ms, Cp's specialty and taxonomy code?
The Gary M Berke Ms, Cp's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
When was the Gary M Berke Ms, Cp's 1467635367 issued?
The Gary M Berke Ms, Cp's 1467635367 was issued on 2007-12-13.
When was the information pertaining to Gary M Berke Ms, Cp most recently updated or revised?
The details related to Gary M Berke Ms, Cp, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.
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