Individual
MARK A BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 OLD ROLLINSFORD RD, SUITE 102, DOVER, NH 03820-2868
(603) 742-7338
(603) 740-9528
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-7338
(603) 740-9528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9669
NH
207Q00000X
Family Medicine Physician
MD18166
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972559367
—
ME
05
—
3075878
—
NH
Enumeration date
05/26/2006
Last updated
08/22/2013
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