Individual
STEVEN L BERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27-29 MECHANIC ST, WORCESTER, MA 01608-2414
(508) 753-2159
(508) 753-5784
Mailing address
27-29 MECHANIC ST, WORCESTER, MA 01608-2414
(508) 753-2159
(508) 753-5784
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
045654
CT
207W00000X
Ophthalmology Physician
150108
NY
207W00000X
Ophthalmology Physician
Primary
54627
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001456541
—
CT
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
0800299
EVERCARE
—
01
—
1059575
FIRST HEALTH
—
01
—
2184329
CIGNA HEALTH PLAN
—
01
—
5238488
AETNA US HEALTHCARE
—
01
—
52833A
MEDICARE PTAN
NY
Enumeration date
03/30/2006
Last updated
11/14/2015
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