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Contact Information

JACOB E BERCHUCK, MD
1364 CLIFTON RD NE
ATLANTA, GA30322-5450
 Phone: 404-778-1900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACOB E BERCHUCK · (Male)

NPI Number 1215279617
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2013
Last updated 06/26/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 270610
Hospital affiliation(s)
  • BRIGHAM AND WOMEN'S HOSPITAL - (Acute Care)
    75 FRANCIS STREET
    BOSTON, MA 02115
  • DANA-FARBER CANCER INSTITUTE - (Acute Care)
    450 BROOKLINE AVENUE
    BOSTON, MA 02115
  • FAULKNER HOSPITAL - (Acute Care)
    1153 CENTRE STREET
    BOSTON, MA 02130
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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