Individual
DR. MATTHEW BENJAMIN BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
292862
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110190027A
—
MA
01
—
15695886
CAQH
—
05
—
3137839
—
NH
Enumeration date
06/29/2017
Last updated
06/08/2023
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