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Contact Information

MARK M BERENSON, MD
721 MAIN ST.
MELROSE, MA02176
 Phone: 781-620-0198
 Fax: 781-620-0108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK M BERENSON · (Male)

NPI Number 1942248232
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2006
Last updated 11/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 32420
  • MA Medicaid 0178551
  • MA Other 200036492 PALMETTO GBA
Hospital affiliation(s)
  • HALLMARK HEALTH SYSTEM - (Acute Care)
    585 LEBANON STREET
    MELROSE, MA 02176
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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