Dr. Steven L Berke
Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology
130 New London Tpke
Norwich
, Connecticut 06360-2624
Dr. Steven L Berke
Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology
130 New London Tpke
Norwich
, Connecticut 06360-2624
(860) 823-1577
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About
Features
Specialties
- Oral and Maxillofacial Pathology
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Steven L Berke
- 130 New London Tpke
- Norwich, CT
- Zip : 06360-2624
- Fax : (860) 823-1577
- Phone : (860) 886-0651
Second Address
- Dr. Steven L Berke
- 130 New London Tpke
- Norwich, CT
- Zip : 06360-2624
- Fax : (860) 823-1577
- Phone : (860) 886-0651
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0106X | Oral and Maxillofacial Pathology | 006728 | CT |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 006728 | CT |
National Provider Identifier
| NPI | 1275527772 |
|---|---|
| Provider Name | Dr. Steven L Berke |
| First Address | Norwich, CT 06360-2624 |
| Second Address | Norwich, CT 06360-2624 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2005 |
| Last Update Date | 30/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004083333 | (05) | CT |
| 020006728CT01 | BC/BS PROVIDER ID # (01) | CT |
| 190000670 | MEDICARE (01) | CT |
| 5477144 | AETNA MEDICAL PROVIDER ID (01) | CT |
| T22802 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.