| Doctor Name: | DORON J BER |
| NPI Number: | 1316924749 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 033522 |
| Business Practice Address: | 23 Clara Dr Suite 204 Mystic, CT - 063551959 |
| Business Phone Number: | 8605362995 |
| Business Fax Number: | 8605720265 |
| Mailing Address: | 23 Clara Dr, Suite 204 MYSTIC |
| State: | CT |
| Postal Code: | 063551959 |
| Phone Number: | 8605362995 |
| Fax Number: | 8605720265 |
| NPI Enumeration Date: | 12/28/2005 |
| NPI Last Update Date: | 08/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | 033522 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |