Individual
DR. LARRY ROBERT BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
308 RARITAN AVE, HIGHLAND PARK, NJ 08904-2743
(732) 545-0294
(732) 846-4486
Mailing address
26 CELLER RD, EDISON, NJ 08817-2949
(732) 985-2118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01334700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0458007
—
NJ
Enumeration date
01/21/2007
Last updated
07/08/2007
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