Healthcare Provider Details

I. General information

NPI: 1184627028
Provider Name (Legal Business Name): BARRY MATHEW BERGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 CEDAR RD
CHESTNUT HILL MA
02467-2206
US

IV. Provider business mailing address

40 CEDAR RD
CHESTNUT HILL MA
02467-2206
US

V. Phone/Fax

Practice location:
  • Phone: 617-293-7738
  • Fax:
Mailing address:
  • Phone: 617-293-7738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number49024
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number49024
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: