MEDICARE: DR. MARC A BEREZIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	ME168712	FL
2	207X00000X	Orthopaedic Surgery Physician	1671681	NY

General Provider Information

NPI Number	:	1063489318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC A BEREZIN M.D.

Provider Business Mailing Address
First Line	:	12887 CRANE XING
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33412-2948
Country	:	US
Telephone Number	:	845-300-0829
Fax Number	:	845-285-6963

Provider Business Practice Location Address
First Line	:	12887 CRANE XING
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33412-2948
Country	:	US
Telephone Number	:	845-300-0829
Fax Number	:	845-285-6963

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	03/10/2026

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