Individual
LEE B BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 RATZER ROAD, SUITE 4, WAYNE, NJ 07470
(973) 628-7960
(973) 633-0772
Mailing address
330 RATZER ROAD, SUITE 4, WAYNE, NJ 07470
(973) 628-7960
(973) 633-0772
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA04019200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1377400
—
NJ
Enumeration date
08/02/2006
Last updated
07/08/2007
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