Berger, David L

Berger, David L is an individual health care provider with primary practice located at 15 Parkman St Wac 465, Boston MA 02114-3117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Berger, David L can be contacted via phone (617) 724-6980.

Contact Information

Primary practice address
15 Parkman St Wac 465 Boston MA 02114-3117
Phone: (617) 724-6980
Fax: (617) 724-0067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 80875 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 80875 Massachusetts

Profile Details

NPI number 1710977327
LBN Legal business name Berger, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Sep 26th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710977327 NPPES
Massachusetts MEDICAID 3136604
Massachusetts Other 727671
Massachusetts Other J31144

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