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1417977786
JACK BERMAN
SANTA MONICA, CA
NPI
1417977786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA C33328)
Enumeration Date
2006-07-20
Last Update Date
2022-08-08
Business Address
JACK BERMAN MD
2428 SANTA MONICA BLVD
SANTA MONICA, CA 90404-2045
Phone number: 310-315-1000
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Mailing Address
JACK BERMAN MD
1516 COTNER AVE
LOS ANGELES, CA 90025-3303
Phone number: 310-445-2951
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