MEDICARE: BERMAN ORTHOPEDICS INSTITUTE

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	174400000X	Specialist	MD008696E	PA

General Provider Information

NPI Number	:	1558555789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERMAN ORTHOPEDICS INSTITUTE

Provider Business Mailing Address
First Line	:	221 N BROAD ST
Second Line	:	1ST FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-1502
Country	:	US
Telephone Number	:	215-564-2114
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 N BROAD ST
Second Line	:	1ST FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-1502
Country	:	US
Telephone Number	:	215-564-2114
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARNOLD T. BERMAN
Credential	:	M.D.
Telephone Number	:	215-850-1090

Provider Enumeration Date	:	08/30/2007
Last Update Date	:	12/17/2007

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