Organization
MARK BERMAN,MD,PA
Active
Organization
MARK BERMAN,MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BERMAN M.D.,P.A. (ORTHOPEDIC SURGEON)
(201) 489-8250
Entity
Organization
Contact information
Practice address
211 ESSEX ST, SUITE 402, HACKENSACK, NJ 07601-3231
(201) 489-8250
(201) 489-2933
Mailing address
211 ESSEX ST, SUITE 402, HACKENSACK, NJ 07601-3231
(201) 489-8250
(201) 489-2933
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA04662200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0301809
—
NJ
Enumeration date
12/28/2010
Last updated
12/30/2010
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