Berry, Gerard Thomas

Berry, Gerard Thomas is an individual health care provider with primary practice located at 300 Longwood Ave Boston Children'S Hospital, Boston MA 02115-5724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics. Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics is his primary health care specialty. Berry, Gerard Thomas can be contacted via phone (617) 857-4636.

Contact Information

Primary practice address
300 Longwood Ave Boston Children'S Hospital Boston MA 02115-5724
Phone: (617) 857-4636
Fax: (617) 730-4874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD018408E Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics 207SG0202X 230307 Massachusetts

Profile Details

NPI number 1932189255
LBN Legal business name Berry, Gerard Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jan 11th, 2013 - about 13 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 1932189255 NPPES
Other BE117913 BLUE SHIELD
MEDICAID 0008577400005 BLUE SHIELD
Other 3786201 BLUE SHIELD

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