Individual
GERALD J BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
A43119
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A43119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A431190
—
CA
Enumeration date
10/04/2006
Last updated
03/13/2024
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