Provider Demographics
NPI:1467912816
Name:BERK, BRITTANY DEBORAH (MD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:DEBORAH
Last Name:BERK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1290 SILAS DEANE HWY
Mailing Address - Street 2:HHC-CVO
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:860-972-5507
Mailing Address - Fax:860-972-7040
Practice Address - Street 1:1262 POST RD STE 1
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6010
Practice Address - Country:US
Practice Address - Phone:203-338-8760
Practice Address - Fax:203-338-8765
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.150341208800000X
CT82596208800000X
MA280075208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty