Provider Demographics
NPI:1245240449
Name:BERMAN, JESSICA A (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:A
Last Name:BERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2510 MARYLAND RD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1109
Mailing Address - Country:US
Mailing Address - Phone:215-706-2034
Mailing Address - Fax:215-706-4477
Practice Address - Street 1:201 GIBRALTAR RD STE 120
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2331
Practice Address - Country:US
Practice Address - Phone:215-706-2034
Practice Address - Fax:215-706-4176
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2019-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD070250L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH84153Medicare UPIN
PA069789D92Medicare ID - Type Unspecified