Provider Demographics
NPI:1003226168
Name:STEVEN L. BERK MD PC
Entity Type:Organization
Organization Name:STEVEN L. BERK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-753-2159
Mailing Address - Street 1:27-29 MECHANIC ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-2414
Mailing Address - Country:US
Mailing Address - Phone:508-753-2159
Mailing Address - Fax:508-753-5784
Practice Address - Street 1:27-29 MECHANIC ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2414
Practice Address - Country:US
Practice Address - Phone:508-753-2159
Practice Address - Fax:508-753-5784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty