Individual
NATHAN B BERAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COMMERCE ST, PEDIATRICS, LINCOLN, RI 02865
(401) 793-8484
(401) 793-8481
Mailing address
1 COMMERCE ST, PEDIATRICS, LINCOLN, RI 02865-1168
(401) 793-8484
(401) 793-8481
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
204275
MA
2080A0000X
Pediatric Adolescent Medicine Physician
40994-020
WI
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD06656
RI
2080P0202X
Pediatric Cardiology Physician
204275
MA
2080P0202X
Pediatric Cardiology Physician
MD06656
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005484
—
MA
05
—
7002149
—
RI
Enumeration date
06/27/2005
Last updated
12/07/2020
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