Provider Demographics
NPI:1386603637
Name:BERMAN, PAUL E (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:184 NORTHAMPTON ST
Mailing Address - Street 2:#K
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1049
Mailing Address - Country:US
Mailing Address - Phone:413-529-0797
Mailing Address - Fax:413-527-7526
Practice Address - Street 1:184 NORTHAMPTON ST
Practice Address - Street 2:#K
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1049
Practice Address - Country:US
Practice Address - Phone:413-529-0797
Practice Address - Fax:413-527-7526
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA31503207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000008169OtherBMC
MA2358269OtherAETNA
MA761689OtherTUFTS
MAE46031OtherBCBSMA
MA9768513Medicaid
MA10244501OtherCIGNA
MA19633OtherHNE
MA315031OtherCONNECTICARE
MA2358269OtherAETNA
MAE46031OtherBCBSMA