Individual
ELYSE JORDAN BERLINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(408) 691-5555
Mailing address
25 PARKMAN ST APT 1, BROOKLINE, MA 02446-3826
(408) 691-5555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3014366
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
07/07/2023
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