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Individual
ROGER L BERKOW
Active
Individual
ROGER L BERKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.11429
AL
208000000X
Pediatrics Physician
MD.11429
AL
208000000X
Pediatrics Physician
ME117016
FL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
86596
GA
2080P0207X
Pediatric Hematology & Oncology Physician
MD.11429
AL
2080P0207X
Pediatric Hematology & Oncology Physician
ME117016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009928300
—
AL
01
—
1528055753
TRICARE SOUTH
AL
01
—
510-95530
BCBS
AL
01
—
5656157
AETNA
AL
Enumeration date
10/03/2005
Last updated
01/12/2021
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