Organization

Roseann Berwald, Md

Gynecology Physician in Brockton, MA(View on Map)

Legal Business Name

Roseann Berwald, Md

NPI Number

1700080454

NPI Type

Organization

Enumeration Date

06/14/2007

Specialties

(Taxonomies)

Code

207VG0400X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

70519

Contact
Information

Purpose

Mailing
Location

Address

370 OAK ST
370 OAK ST

City

Brockton
Brockton

State

MA
MA

Postal Code

02301-1303
02301-1303

Country

US
US

Telephone Number

(508) 580-1508
(508) 580-1508

Authorized Official

Name

Dr. Roseann Berwald

Title or Position

PHYSICIAN

Telephone Number

(508) 580-1508

Identifiers

Identifier

M19204

Identifier State

MA

Identifier Issuer

BLUE CROSS BLUE SHIELD MA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address

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Organization

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Organization

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Organization

Esp Medical Llc

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