Provider Demographics
NPI:1215002514
Name:BERLIN, DENISE M (DO)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:BERLIN
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32384 THREE BRIDGES RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16404-2402
Mailing Address - Country:US
Mailing Address - Phone:814-493-6001
Mailing Address - Fax:814-675-0026
Practice Address - Street 1:32384 THREE BRIDGES RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:PA
Practice Address - Zip Code:16404-2402
Practice Address - Country:US
Practice Address - Phone:814-493-6001
Practice Address - Fax:814-675-0026
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012215207Q00000X
PA05012215207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H66052Medicare UPIN
PA059636QSEMedicare PIN