Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 76471 | MA |
NPI | 1073703161 |
---|---|
Provider Name | Harvey J Berger |
First Address | Cambridge, MA 02139 |
Second Address | Cambridge, MA 02139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 26/07/2007 |