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Contact Information

THOMAS J BERRYMAN, DPM
400 PLAZA COURT
SUITE B
EAST STROUDSBURG, PA18301
 Phone: 570-421-5530
 Fax: 570-424-6528
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for THOMAS J BERRYMAN · (Male)

NPI # 1558398248
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SC003710L
  • PA Other 6011981 AETNA GHI
  • PA Other 732465 AETNA HMO
  • PA Other 5245200 AETNA PPO
  • PA Other BE792609 BLUE SHIELD
  • PA Other 801461 FPH
  • PA Other 20788 GEINSINGER
  • PA Other PO33366 TRICARE
Hospital affiliation(s)
  • POCONO MEDICAL CENTER - (Acute Care)
    206 EAST BROWN STREET
    EAST STROUDSBURG, PA 18301
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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