Individual
JOHN W BERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WEST LANCASTER AVENUE, WYNNEWOOD, PA 19096
(610) 645-2420
Mailing address
PO BOX 3012, WILMINGTON, DE 19804
(800) 456-4629
(302) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD421083
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019577500002
—
PA
Enumeration date
02/08/2006
Last updated
07/08/2007
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