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Individual
SOLOMON I BERKOWITZ
Active
Individual
SOLOMON I BERKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1911
GA
367H00000X
Anesthesiologist Assistant
Primary
75000147A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100145426
ANTHEM PTAN
IN
05
—
300097010
—
IN
01
—
Q00773302
RAILROAD PTAN
IN
Enumeration date
09/03/2009
Last updated
05/14/2025
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