Provider Demographics
NPI:1346244282
Name:BERLIN, PAUL J (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:BERLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:188 FRIES MILL RD
Mailing Address - Street 2:STE A1
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2015
Mailing Address - Country:US
Mailing Address - Phone:856-262-9200
Mailing Address - Fax:856-728-6027
Practice Address - Street 1:188 FRIES MILL RD
Practice Address - Street 2:STE A1
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2015
Practice Address - Country:US
Practice Address - Phone:856-262-9200
Practice Address - Fax:856-728-6027
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05843000207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1050012OtherHORIZON MERCY
NJ122867OtherAETNA/US HEALTHCARE
NJ1410535005OtherCIGNA
NJ4247764OtherAETNA
NJ223358581OtherUNITED HEALTHCARE
NJ0249447000OtherAMERIHEALTH
NJ1050012OtherHORIZON
NJPHS119OtherOXFORD
NJ099070Medicare ID - Type Unspecified
NJ223358581OtherUNITED HEALTHCARE