MEDICARE: DR. JUDITH CHERTOFF BERMAN 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	2084P0800X	Psychiatry Physician	D0023078	MD

General Provider Information

NPI Number	:	1780881367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDITH CHERTOFF BERMAN M.D.

Provider Business Mailing Address
First Line	:	6205 POINDEXTER LN
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-3642
Country	:	US
Telephone Number	:	301-230-1955
Fax Number	:

Provider Business Practice Location Address
First Line	:	6205 POINDEXTER LN
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-3642
Country	:	US
Telephone Number	:	301-230-1955
Fax Number	:

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

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	06/30/2017

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