Berenbaum, Paul L

Berenbaum, Paul L is an sole proprietor health care provider with primary practice located at 261 Old York Rd Ste. 309, Jenkintown PA 19046-3706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Berenbaum, Paul L can be contacted via phone (215) 572-5555.

Contact Information

Primary practice address
261 Old York Rd Ste. 309 Jenkintown PA 19046-3706
Fax: (215) 572-7808
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD020496E Pennsylvania

Profile Details

NPI number 1265595904
LBN Legal business name Berenbaum, Paul L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265595904 NPPES
Pennsylvania MEDICAID 0007656850001

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