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BERDIAEFFE ETIENNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
632 BLUE HILL AVE, BOSTON, MA 02121-3213
(617) 825-3400
Mailing address
148 HUBBARD AVE, BROCKTON, MA 02301-7040
(857) 928-1989

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20142319
MA

Other

Enumeration date
03/21/2022
Last updated
03/21/2022
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