Individual
DR. JONATHAN BENDER BERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, SHAPIRO 5, SUITE B, BOSTON, MA 02118-2526
(617) 414-5951
(617) 414-1577
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
224197
MA
2083P0901X
Public Health & General Preventive Medicine Physician
224197
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073858A
—
MA
Enumeration date
06/17/2006
Last updated
05/03/2019
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