Individual
LAUREEN MALATESTA BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1125 N MAIN ST, PROVIDENCE, RI 02904-5739
(401) 793-2928
(401) 793-7401
Mailing address
6 PIONEER CIR, SHARON, MA 02067-2744
(781) 793-0012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00801
RI
Other
Enumeration date
06/08/2011
Last updated
06/17/2020
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