Berman, Larry Robert
Berman, Larry Robert is an sole proprietor health care provider with primary practice located at 308 Raritan Ave , Highland Park NJ 08904-2743. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Berman, Larry Robert can be contacted via phone (732) 545-0294.Contact Information
Primary practice address
308 Raritan Ave
Highland Park NJ 08904-2743
Phone: (732) 545-0294
Fax: (732) 846-4486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI01334700 | New Jersey |
Profile Details
| NPI number | 1326191347 |
|---|---|
| LBN Legal business name | Berman, Larry Robert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1326191347 | NPPES |
| New Jersey | MEDICAID | 0458007 |
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