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Individual

MAX MEIR BERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1153 CENTRE ST, RADIOLOGY, FAULKNER HOSPITAL, BOSTON, MA 02130-3446
(617) 983-7090
(617) 983-7091
Mailing address
1153 CENTRE ST, RADIOLOGY, FAULKNER HOSPITAL, BOSTON, MA 02130-3446
(617) 983-7090
(617) 983-7091

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30471
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204706
MA
01
700612
TUFTS HEALTH CARE
MA
01
C04737
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
10/04/2005
Last updated
07/14/2010
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