Individual
LAWRENCE F. BERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 CORDWAINER DR, SUITE 202, NORWELL, MA 02061-1671
(781) 871-3963
Mailing address
200 CORDWAINER DR, SUITE 202, NORWELL, MA 02061-1671
(781) 871-3963
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
58660
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M09525
BCBS PROVIDER ID. NUMBER
MA
01
—
S011999
CHAMPUS PROVIDER #
MA
Enumeration date
10/05/2006
Last updated
07/08/2007
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