IndividualActive
Bruce Berlow, M.D.
NPI 1720065154 · Specialist · Mystic, CT
Provider details
- NPI number
- 1720065154
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- License
- 036951 (CT)
Specialties & taxonomies
Other Service Providers
Practice location
23 Clara Dr
Suite 204
Mystic, CT 06355-1959
Phone: (860) 536-2995
Fax: (860) 572-0265
Approximate (ZIP-level) locationGet directions
Mailing address
23 Clara Dr
Mystic, CT 06355-1959
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.