Individual
DR. JOHN SMITH BERRY IV
Active
Individual
DR. JOHN SMITH BERRY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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