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Contact Information

JESSICA M BERDEJA, MD
9225 N 3RD ST
SUITE 103
PHOENIX, AZ85020-2439
 Phone: 602-906-3500
 Fax: 602-906-3519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JESSICA M BERDEJA · (Female)

NPI Number 1215190749
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2008
Last updated 01/11/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 46095
  • CA License # A115734
Hospital affiliation(s)
  • JOHN C LINCOLN DEER VALLEY HOSPITAL - (Acute Care)
    19829 NORTH 27TH AVENUE
    PHOENIX, AZ 85027
  • JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL - (Acute Care)
    250 EAST DUNLAP AVENUE
    PHOENIX, AZ 85020
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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