Individual
ILYA G. BERIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 PATERSON ST STE 5100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7840
Mailing address
PO BOX 829642, PHILADELPHIA, PA 19182-9642
(866) 470-6626
(413) 599-0470
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA10426900
NJ
207RP1001X
Pulmonary Disease Physician
26914
NE
Other
Enumeration date
01/14/2009
Last updated
07/23/2021
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