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Contact Information

CHARLES M BERRY, NURSE PRACTITIONER
51 BLOSSOM ST
BOSTON, MA02114-2601
 Phone: 617-722-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHARLES M BERRY · (Male)

NPI Number 1205330578
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 03/21/2018
Last updated 09/20/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # RN2264496
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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