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:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1932189255 | NPPES |
| Other | BE117913 | BLUE SHIELD | |
| MEDICAID | 0008577400005 | BLUE SHIELD | |
| Other | 3786201 | BLUE SHIELD |
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