Individual
ANTHONY ROBERT BERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5678
(617) 243-6924
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5678
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
74781
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3087263
—
MA
01
—
3900213
UNITED HEALTH
—
01
—
438969
HP
—
01
—
730220
TUFTS
—
01
—
930107207
RAILROAD
—
01
—
J01970
BLUESHIELD
—
Enumeration date
04/13/2006
Last updated
04/19/2023
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