Individual
DR. BERNARD RALPH ASERKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BLK 465C GASTROENTEROLOGY ASSOCIATES, BOSTON, MA 02114-2696
(617) 724-5995
(617) 724-5996
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-5995
(617) 724-5996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31549
MA
207RG0100X
Gastroenterology Physician
Primary
31549
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102784
—
MA
01
—
707229
TUFTS HEALTH PLAN
MA
01
—
M07789
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
01/31/2014
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