# MARK A BERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972559367
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9669 | NH | Yes |
| 207Q00000X | Family Medicine Physician | MD18166 | ME | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1972559367 | — | ME |
| 05 | — | 3075878 | — | NH |