Provider Demographics
NPI:1013593854
Name:BERENSON, DANIEL FISCHBEIN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:FISCHBEIN
Last Name:BERENSON
Suffix:
Gender:
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:CWNL1
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-2610
Mailing Address - Country:US
Mailing Address - Phone:617-732-8218
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:CWNL1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-2610
Practice Address - Country:US
Practice Address - Phone:617-732-8218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1022458207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology