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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710977327 | NPPES |
| Massachusetts | MEDICAID | 3136604 | |
| Massachusetts | Other | 727671 | |
| Massachusetts | Other | J31144 |
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