Provider Demographics
NPI:1104144096
Name:BERRY, CAROLINE ELIZABETH
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ELIZABETH
Last Name:BERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 PRATT RD
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-2032
Mailing Address - Country:US
Mailing Address - Phone:617-922-6386
Mailing Address - Fax:
Practice Address - Street 1:3 MILL WHARF PLZ
Practice Address - Street 2:SUITE N-11
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-1377
Practice Address - Country:US
Practice Address - Phone:781-545-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist