Individual
FREDERICK BERRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 ASYLUM AVE, SUITE 1026, HARTFORD, CT 06105-1770
(860) 714-4332
(860) 714-8054
Mailing address
1000 ASYLUM AVE, SUITE 2109A, HARTFORD, CT 06105-1770
(860) 714-6581
(860) 714-8311
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022500
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001225002
—
CT
Enumeration date
07/13/2005
Last updated
02/24/2009
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