MEDICARE: CLIFFORD J BERGER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	72345	MA
2	207RI0011X	Interventional Cardiology Physician	72345	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972569861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLIFFORD J BERGER MD

Provider Business Mailing Address
First Line	:	830 OAK ST.
Second Line	:	SUITE 205W
City	:	BROCKTON
State	:	MA
Zip	:	02301
Country	:	US
Telephone Number	:	508-583-4440
Fax Number	:	508-583-7401

Provider Business Practice Location Address
First Line	:	185 PILGRIM RD # BAKER4
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-5324
Country	:	US
Telephone Number	:	617-667-8800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	04/25/2024

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