DAVID J BERENSON — OIG Excluded Provider (SAUSALITO, CA, 1128b4)
DAVID J BERENSON — OIG Excluded Provider (SAUSALITO, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: DAVID J BERENSON; Type: Individual; Provider category: MEDICAL PRACTICE, MD.
| Name | DAVID J BERENSON |
|---|---|
| Type | Individual |
| Provider category | MEDICAL PRACTICE, MD |
| Specialty | GENERAL PRACTICE/FP |
| City | SAUSALITO |
| State | CA |
| ZIP | 94965 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 1998-10-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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