Provider Demographics
NPI:1922471333
Name:BERMAN, SCOTT IRWIN (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:IRWIN
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 N CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2308
Mailing Address - Country:US
Mailing Address - Phone:610-628-4373
Mailing Address - Fax:610-628-4373
Practice Address - Street 1:1405 N CEDAR CREST BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2308
Practice Address - Country:US
Practice Address - Phone:610-628-4373
Practice Address - Fax:610-628-4373
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-036271-E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry