Individual
DR. BRENDA KERBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
548 MOUNT AUBURN ST, WATERTOWN, MA 02472-4122
(617) 923-1040
Mailing address
17 LAURUS LN, NEWTON, MA 02459-3138
(617) 332-7757
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
45420
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45420
MASS LICENSE
MA
Enumeration date
06/05/2007
Last updated
07/08/2007
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