Provider Demographics
NPI:1902977879
Name:BEREZ, FRANNE RACELLE (MD, ND)
Entity Type:Individual
Prefix:DR
First Name:FRANNE
Middle Name:RACELLE
Last Name:BEREZ
Suffix:
Gender:F
Credentials:MD, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4354 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2906
Mailing Address - Country:US
Mailing Address - Phone:412-422-5433
Mailing Address - Fax:412-422-1935
Practice Address - Street 1:4354 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2906
Practice Address - Country:US
Practice Address - Phone:412-422-5433
Practice Address - Fax:412-422-1935
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-040220-2207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC34714Medicare UPIN
PA505355Medicare ID - Type Unspecified