Provider Demographics
NPI:1730212556
Name:BERDELLA, MARIA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:BERDELLA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 95000-2433
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-2433
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 NATHAN D. PERLMAN PLACE
Practice Address - Street 2:BETH ISRAEL MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3851
Practice Address - Country:US
Practice Address - Phone:212-420-4100
Practice Address - Fax:212-420-4107
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2019-04-16
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Provider Licenses
StateLicense IDTaxonomies
NY1877282080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology