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Individual

JOSEPH BEREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A

Contact information

Practice address
150 JAMES ST STE 204, LAKEWOOD, NJ 08701-4101
(732) 363-4003
Mailing address
150 JAMES ST STE 204, LAKEWOOD, NJ 08701-4101
(732) 363-4003

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00320800
NJ

Other

Enumeration date
10/17/2013
Last updated
10/17/2013
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