Individual
DR. DAVID LIONEL BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4000 EDGMONT AVE, BROOKHAVEN, PA 19015-2211
(610) 874-2422
(610) 874-2491
Mailing address
4000 EDGMONT AVE, BROOKHAVEN, PA 19015-2211
(610) 874-2422
(610) 874-2491
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001524L
PA
213E00000X
Podiatrist
Z5MD00138800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050148
—
PA
01
—
122804
BLUE CROSS BLUE SHIELD
PA
Enumeration date
07/25/2006
Last updated
03/04/2013
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