Individual
GERALD BARRY BERENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20 JULIO DR, SHREWSBURY, MA 01545-3056
(508) 842-6881
Mailing address
12 AUSTIN DR, SUDBURY, MA 01776-1739
(978) 443-5247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11899
MA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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