Individual
DR. ELANA M BERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
300 LONGWOOD AVENUE, BOSTON, MA 02115
(617) 355-6058
Mailing address
300 LONGWOOD AVENUE, BOSTON, MA 02115
(617) 355-6058
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
73978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3105300
—
MA
Enumeration date
07/20/2006
Last updated
08/20/2007
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