Individual
DR. JOHN SMITH BERRY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CAPITAL WAY STE 356, PENNINGTON, NJ 08534-2521
(609) 537-6000
Mailing address
2 CAPITAL WAY STE 356, PENNINGTON, NJ 08534-2521
(609) 537-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01070847A
IN
208600000X
Surgery Physician
2017-01625
NC
208600000X
Surgery Physician
25MA12107500
NJ
208C00000X
Colon & Rectal Surgery Physician
Primary
25MA12107500
NJ
Other
Enumeration date
04/15/2010
Last updated
07/01/2024
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