Michael Berdan
Nurse Practitioner - Community Health
399 Revolution Dr Suite 810
Somerville
, Massachusetts 02145-1446
Michael Berdan
Nurse Practitioner - Community Health
399 Revolution Dr Suite 810
Somerville
, Massachusetts 02145-1446
(617) 526-1909
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Michael Berdan
- 399 Revolution Dr Suite 810
- Somerville, MA
- Zip : 02145-1446
- Fax : (617) 526-1909
- Phone : (888) 897-8947
Second Address
- Michael Berdan
- 399 Revolution Dr Suite 810
- Somerville, MA
- Zip : 02145-1446
- Fax : (617) 526-1909
- Phone : (888) 897-8947
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 206946 | MA |
National Provider Identifier
| NPI | 1295937795 |
|---|---|
| Provider Name | Michael Berdan |
| First Address | Somerville, MA 02145-1446 |
| Second Address | Somerville, MA 02145-1446 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2007 |
| Last Update Date | 06/12/2016 |
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.