Gregory Ivan Berk, MD

Individual provider Active NPI Hematology & Oncology Physician · Dover, MA

NPI 1306208905 · NPPES record last updated Mar 23, 2016

Key facts

NPI
1306208905
Entity type
Individual (NPI type 1)
Primary specialty
Hematology & Oncology Physician 207RH0003X
License
C51814 (CA)
Practice address
133 Claybrook Rd
Dover, MA 02030-2116
Phone
(925) 719-3531
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C51814CAMDHematology & Oncology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C51814 CA Yes

Addresses

Primary practice location

133 Claybrook Rd
Dover, MA 02030-2116

Mailing address

133 Claybrook Rd
Dover, MA 02030-2116
Phone (925) 719-3531

Other providers in Dover, MA

All providers in Dover, MA · Hematology & Oncology Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.