Individual
DR. THOMAS JOSEPH BERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
400 PLAZA COURT, SUITE B, EAST STROUDSBURG, PA 18301
(570) 421-5530
(570) 424-6528
Mailing address
400 PLAZA COURT, SUITE B, EAST STROUDSBURG, PA 18301
(570) 421-5530
(570) 424-6528
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003710L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20788
GEINSINGER
PA
01
—
5245200
AETNA PPO
PA
01
—
6011981
AETNA GHI
PA
01
—
732465
AETNA HMO
PA
01
—
801461
FPH
PA
01
—
BE792609
BLUE SHIELD
PA
01
—
PO33366
TRICARE
PA
Enumeration date
06/27/2006
Last updated
07/08/2007
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