Individual
PAUL T BERRY
Active
Individual
PAUL T BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5901
NH
207R00000X
Internal Medicine Physician
MD9836
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548208796
—
ME
05
—
3075813
—
NH
Enumeration date
06/02/2006
Last updated
03/17/2018
Update your record
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