Individual
DR. CHARLES B BERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6995
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
54097
MA
2080P0203X
Pediatric Critical Care Medicine Physician
54097
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6194109
—
MA
Enumeration date
03/02/2006
Last updated
08/20/2007
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