Individual
LAWRENCE BERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 06457-4777
(860) 685-8940
Mailing address
410 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 06457-4777
(860) 685-8940
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
037659
CT
207XS0106X
Orthopaedic Hand Surgery Physician
037659
CT
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
037659
CT
207XS0117X
Orthopaedic Surgery of the Spine Physician
037659
CT
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
037659
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
037659
CT
207XX0801X
Orthopaedic Trauma Physician
037659
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001376591
—
CT
Enumeration date
10/04/2006
Last updated
09/05/2008
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