Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 59893 | MA |
NPI | 1063437788 |
---|---|
Provider Name | Harriet Alexander Bering |
First Address | Boston, MA 02215-3904 |
Second Address | Boston, MA 02215-3904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 17/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3037762 | (05) | MA |
B75036 | (02) |