Individual
DR. MARK J. BERENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 CONGRESS ST, SUITE 3C, QUINCY, MA 02169-0908
(781) 682-0600
Mailing address
500 CONGRESS ST, SUITE 3C, QUINCY, MA 02169-0908
(781) 682-0600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45619
MA
207RP1001X
Pulmonary Disease Physician
Primary
45619
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020777
BOSTON HEALTH NET
MA
01
—
0004320
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0158623
—
MA
01
—
23047
HARVARD PILGRIM HEALTHCAR
—
01
—
290014541
RAILROAD MEDICARE
—
01
—
3124
AETNA/US HEALTHCARE
—
01
—
48 - 00036
UNITED HEALTHCARE OF NE
MD
01
—
702305
TUFTS ASSOCIATED HEALTH P
—
01
—
B10159102
CIGNA HEALTHCARE
—
01
—
E05697
BLUE CROSS/BLUE SHIELD
—
Enumeration date
10/13/2005
Last updated
06/10/2013
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