Organization
LAWRENCE J BERMAN MD LLC
Active
Other names
Radburn Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ELLIOT WERTENTEIL M.D. (MANAGING PARTNER)
(201) 703-0202
Entity
Organization
Contact information
Practice address
20-20 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2319
(201) 703-0202
(201) 703-1231
Mailing address
20-20 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2319
(201) 703-0202
(201) 703-1231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087980
AETNA
NJ
05
—
8051208
—
NJ
Enumeration date
04/13/2006
Last updated
01/18/2008
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