Individual
RUTH BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(978) 463-1045
Mailing address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
PA6249
MA
208VP0014X
Interventional Pain Medicine Physician
Primary
PA6249
MA
363A00000X
Physician Assistant
0753
NH
Other
Enumeration date
01/18/2010
Last updated
09/27/2020
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