Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE A. BERLOW, M.D.
ActiveSpecialist · MYSTIC, CT
Registration Details
- NPI Number
- 1720065154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2005 (20.337399602498 yrs)
- Last Updated
- Jul 8, 2007
- License
-
036951 (CT)
Practice Information
- Address
-
23 CLARA DRSUITE 204MYSTIC, CT, 063551959Browse CT providers · Browse ZIP 06355
- Phone
- 8605362995
- Fax
- 8605720265
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MYSTIC, CT
| Name | Credential | NPI |
|---|---|---|
| MRS. BETH TANNATT | DPT | 1811960750 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.