NPI 1407084544 · live from the CMS NPI Registry
Thomas Berenberg, M.D.
Ophthalmology, Retina Specialist in Waterbury, CT. National Provider Identifier 1407084544, active.
NPI record
| NPI | 1407084544 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Retina Specialist 207WX0107X |
| Practice location | 1201 W Main St, Suite 100, Waterbury, CT 06708 |
| Practice phone | 203-573-4803 |
| Mailing address | 1201w Main St 100, Waterbury, CT 06708 |
| Enumerated | June 28, 2009 |
| Last updated | June 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 054581 (CT) |
| Ophthalmology, Retina Specialist primary | 207WX0107X | 054581 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.