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Contact Information

GERARD T BERRY SR, MD
300 LONGWOOD AVE
BOSTON CHILDREN'S HOSPITAL
BOSTON, MA02115-5724
 Phone: 617-857-4636
 Fax: 617-730-4874
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Biochemical Genetics

207SG0202X
 

Clinical Genetics (M.D.)

207SG0201X
Indicates primary specialty

NPI Profile & details for GERARD T BERRY SR · (Male)

NPI # 1932189255
Status Active
Credentials MD
Entity Individual
Enumeration date 01/20/2006
Last updated 01/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 230307
  • PA License # MD018408E
  • PA Medicaid 0008577400005
  • Other BE117913 BLUE SHIELD
  • Other 3786201 USHC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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