Individual
CLIFFORD A BERKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W PUTNAM AVE, SUITE 100, GREENWICH, CT 06830-6086
(203) 863-2900
(203) 863-2901
Mailing address
500 W PUTNAM AVE, SUITE 100, GREENWICH, CT 06830-6086
(203) 863-2900
(203) 863-2901
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
B38894
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010020678CT01
BLUE CROSS BLUE SHIELD
CT
01
—
B38894
COMMERCIAL
CT
Enumeration date
07/26/2006
Last updated
07/08/2007
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