Individual
MARK M BERENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 MAIN ST., MELROSE, MA 02176
(781) 620-0198
(781) 620-0108
Mailing address
405 PEARL ST, NORTH SUBURBAN ORTHO ASSOC, MALDEN, MA 02148
(781) 665-9500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32420
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178551
—
MA
01
—
200036492
PALMETTO GBA
MA
Enumeration date
06/02/2006
Last updated
11/19/2018
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