Provider Demographics
NPI:1457662520
Name:BERBERIAN, GREGORY HAPET (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:HAPET
Last Name:BERBERIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14 RICE RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01468-1332
Mailing Address - Country:US
Mailing Address - Phone:978-939-2035
Mailing Address - Fax:978-939-2039
Practice Address - Street 1:123 SUMMER ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1216
Practice Address - Country:US
Practice Address - Phone:508-363-6060
Practice Address - Fax:508-363-9236
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2658072085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110112452AMedicaid
MA1457662520OtherMULTIPLAN
MA1457662520OtherBMC HEALTHNET
MAAA501653OtherHARVARD PILGRIM HEALTH CARE