Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 236197 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | 25MA08636700 | NJ |
NPI | 1083823454 |
---|---|
Provider Name | Dr. Tymara B Berry |
First Address | Morristown, NJ 07960-6136 |
Second Address | Morristown, NJ 07960-6136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 26/08/2009 |