Provider Demographics
NPI:1013911932
Name:BERMAN, ARTHUR J (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:J
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DEERHILL LN
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1048
Mailing Address - Country:US
Mailing Address - Phone:914-693-6261
Mailing Address - Fax:914-693-6261
Practice Address - Street 1:10 DEERHILL LN
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1048
Practice Address - Country:US
Practice Address - Phone:914-693-6261
Practice Address - Fax:914-693-6261
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73150207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AB0835710Medicare ID - Type Unspecified
AB0835710Medicare PIN
NYD47821Medicare UPIN