Provider Demographics
NPI:1184887598
Name:BERLIN-COHEN, GERRI (NP)
Entity type:Individual
Prefix:
First Name:GERRI
Middle Name:
Last Name:BERLIN-COHEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:GERRI
Other - Middle Name:
Other - Last Name:BERLIN-COHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:100 CUMMINGS CTR
Mailing Address - Street 2:SUITE 220B
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6115
Mailing Address - Country:US
Mailing Address - Phone:978-927-9824
Mailing Address - Fax:978-922-5904
Practice Address - Street 1:100 CUMMINGS CTR
Practice Address - Street 2:SUITE 131-Q
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6115
Practice Address - Country:US
Practice Address - Phone:978-922-4490
Practice Address - Fax:978-998-4195
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225743363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health