Individual
KENNETH ALAN BERLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
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
05
—
6182747
—
MA
Enumeration date
03/09/2006
Last updated
07/08/2007
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