Berenberg, Mark J.

Berenberg, Mark J. is an individual health care provider with primary practice located at 500 Congress St Suite 3C, Quincy MA 02169-0908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Berenberg, Mark J. can be contacted via phone (781) 682-0600.

Contact Information

Primary practice address
500 Congress St Suite 3C Quincy MA 02169-0908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 45619 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45619 Massachusetts

Profile Details

NPI number 1942298971
LBN Legal business name Berenberg, Mark J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jun 10th, 2013 - about 11 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 1942298971 NPPES
Other 23047 HARVARD PILGRIM HEALTHCAR
MEDICAID 0158623 HARVARD PILGRIM HEALTHCAR
Other 000000020777 HARVARD PILGRIM HEALTHCAR
Other 290014541 HARVARD PILGRIM HEALTHCAR
Other B10159102 HARVARD PILGRIM HEALTHCAR
Other 0004320 HARVARD PILGRIM HEALTHCAR
Other 3124 HARVARD PILGRIM HEALTHCAR
Other 48 - 00036 HARVARD PILGRIM HEALTHCAR
Other 702305 HARVARD PILGRIM HEALTHCAR
Other E05697 HARVARD PILGRIM HEALTHCAR

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