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Contact Information

CHARLES B BERDE, MD, PHD
300 LONGWOOD AVE
BOSTON, MA02115-5724
 Phone: 617-355-6995
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHARLES B BERDE · (Male)

NPI Number 1356318018
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 03/02/2006
Last updated 08/20/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 54097
  • MA Medicaid 6194109
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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