Provider Demographics
NPI:1598826059
Name:HO, CHRISTINE MARIE BERCUME (PHARMD, BCPS, CGP)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARIE BERCUME
Last Name:HO
Suffix:
Gender:F
Credentials:PHARMD, BCPS, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ORLANDO AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2523
Mailing Address - Country:US
Mailing Address - Phone:508-963-7733
Mailing Address - Fax:
Practice Address - Street 1:117 KENDRICK STREET
Practice Address - Street 2:#700
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494
Practice Address - Country:US
Practice Address - Phone:781-366-7445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA26896183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist