Individual
MRS. COLLEEN MARIE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 ROSEBROOK WAY, SOUTHCOAST PHYSICIAN SERVICES, INC. 3RD FLOOR, WAREHAM, MA 02571-2097
(508) 273-4900
(508) 273-4901
Mailing address
370 FAUNCE CORNER ROAD, SOUTHCOAST PHYSICIAN SERVICES, INC., NORTH DARTMOUTH, MA 02747-1271
(508) 985-2000
(508) 985-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
142625
MA
363L00000X
Nurse Practitioner
Primary
RN142625
MA
363LP0200X
Pediatric Nurse Practitioner
142625
MA
Other
Enumeration date
11/22/2006
Last updated
06/16/2011
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