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Contact Information

SHELLEY BERSON MD, PC
305 W GRAND AVE
SUITE 500
MONTVALE, NJ07645-1813
 Phone: 201-391-8282
 Fax: 201-391-8299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for SHELLEY BERSON MD, PC

NPI Number 1689927105
LBN Legal business name SHELLEY BERSON MD, PC
Authorized official SHELLEY BERSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2012
Last updated 10/22/2012 - About 14 years ago
Identifiers
NJ License # 25MA05783000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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