Individual
FRANK G BERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 MASSACHUSETTS AVE, E23-2SOUTH, CAMBRIDGE, MA 02139-4301
(617) 253-4351
Mailing address
PO BOX 425789, E23-395, CAMBRIDGE, MA 02142-0015
(617) 253-0556
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34837
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2063409
—
MA
01
—
M09411
BLUE CROSS BLUE SHIELD
MA
01
—
P00179399
RAIL ROAD MEDICARE
—
Enumeration date
10/13/2006
Last updated
07/08/2007
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