JUSTIN LEE BERK

PROVIDENCE, RI
NPI1245625300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: RI  MD16768)
Additional Taxonomies207RA0401X Internal Medicine Addiction Medicine
(Licence: RI  MD16768)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-05
Last Update Date2023-01-03
Business Address
JUSTIN LEE BERK M.D.
245 CHAPMAN ST STE 100
PROVIDENCE, RI 02905-4539
Phone number: 401-444-6118
Mailing Address
JUSTIN LEE BERK M.D.
110 ELM ST
PROVIDENCE, RI 02903-4626
Phone number: 401-443-4992