IndividualActive
Konstantin Berestnev, MD
NPI 1407912348 · Preventive Medicine/Occupational Environmental Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1407912348
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MT189326 (PA)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense MT189326 (PA)
Allopathic & Osteopathic Physicians
Practice location
3400 Spruce St
1 Maloney Building
Philadelphia, PA 19104-4206
Phone: (215) 662-3957
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Spruce St
Philadelphia, PA 19104-4206
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.