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Individual

DR. RICHARD A. BERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD033943E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001049730
PA
05
5026504
NJ
Enumeration date
07/18/2006
Last updated
10/06/2014
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