Provider Demographics
NPI:1326019456
Name:BERGER, RACHEL J (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:J
Last Name:BERGER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:147 MILK ST
Mailing Address - Street 2:PROVIDER ENROLLMENT - 9TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4806
Mailing Address - Country:US
Mailing Address - Phone:617-559-8374
Mailing Address - Fax:
Practice Address - Street 1:40 HOLLAND ST
Practice Address - Street 2:INTERNAL MEDICINE
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2705
Practice Address - Country:US
Practice Address - Phone:617-629-6350
Practice Address - Fax:617-629-6067
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2020-10-21
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Provider Licenses
StateLicense IDTaxonomies
MA72346207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA072346OtherTUFTS
MA3060802Medicaid
MAPV477OtherHARVARD PILGRIM
MAJ09679OtherBLUE CROSS
MAJ09679Medicare PIN
MAJ09679OtherBLUE CROSS