Organization
RAYNHAM TAUNTON PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ALAN BERLIN M.D. (PRESIDENT)
(508) 824-9500
Entity
Organization
Contact information
Practice address
876 BROADWAY, RAYNHAM, MA 02767-1797
(508) 824-9500
(508) 824-9507
Mailing address
876 BROADWAY, RAYNHAM, MA 02767-1797
(508) 824-9500
(508) 824-9507
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
52899
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052899
TUFTS
MA
01
—
12-01645
UNITED HEALTH CARE
MA
01
—
200584
HARVARD PILGRIM
MA
01
—
2145974
AETNA
MA
05
—
9702130
—
MA
01
—
B10358301
CIGNA
MA
01
—
J03588
BLUE CROSS
MD
Enumeration date
03/08/2006
Last updated
08/22/2020
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