Provider Demographics
NPI:1114016524
Name:BERMAN, ANDREW R (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:R
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:150 BERGEN ST
Mailing Address - Street 2:UNIVERSITY HOSPITAL I-354
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2496
Mailing Address - Country:US
Mailing Address - Phone:973-972-6111
Mailing Address - Fax:973-972-6228
Practice Address - Street 1:90 BERGEN ST
Practice Address - Street 2:SUITE 4500
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2425
Practice Address - Country:US
Practice Address - Phone:973-972-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2022-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08914600207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease