Individual
ANTHONY BERARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 BABCOCK ST, BOSTON, MA 02215-1003
(617) 353-2746
(617) 353-7579
Mailing address
1 HIGH ACRE DR, NEW FAIRFIELD, CT 06812-3900
(203) 942-3384
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
23365
CT
146N00000X
Basic Emergency Medical Technician
70.023365
CT
146N00000X
Basic Emergency Medical Technician
E932543
MA
2255A2300X
Athletic Trainer
54.001823
CT
2255A2300X
Athletic Trainer
Primary
ATL3793
MA
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
03/23/2026
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