Individual
KEVIN J BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 MERRIMACK ST, STE. 2D, METHUEN, MA 01844-5870
(978) 794-0234
(978) 794-0560
Mailing address
380 MERRIMACK ST, STE. 2D, METHUEN, MA 01844-5870
(978) 794-0234
(978) 794-0560
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
48471
MA
207RI0011X
Interventional Cardiology Physician
Primary
48471
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153109
—
MA
05
—
30006739
—
NH
Enumeration date
07/19/2005
Last updated
10/05/2011
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