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
Phone: (781) 682-0600
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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