Individual
DR. KENNETH R BERV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 BURTIS AVE, 2ND FLOOR DR BLUM, NEW CANAAN, CT 06840
(203) 972-1288
Mailing address
PO BOX 5, NEW CANAAN, CT 06840
(203) 972-1288
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17059
CT
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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