Provider Demographics
NPI:1043286362
Name:BERZIN, MARILYN (MD)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:
Last Name:BERZIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 L ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5111
Mailing Address - Country:US
Mailing Address - Phone:202-822-9591
Mailing Address - Fax:202-775-1857
Practice Address - Street 1:1828 L ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5104
Practice Address - Country:US
Practice Address - Phone:202-822-9591
Practice Address - Fax:202-775-1857
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD13171207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCC62790Medicare UPIN
DC000H20I66Medicare PIN