Individual
JENNIFER BERKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161-0234
(415) 424-4266
(415) 520-6633
Mailing address
8300 ESTERS BLVD STE 900, IRVING, TX 75063-2233
(415) 424-4266
(415) 520-6633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036146456
IL
208000000X
Pediatrics Physician
25MB11532000
NJ
208000000X
Pediatrics Physician
316856
NY
208000000X
Pediatrics Physician
Primary
OS13916
FL
208000000X
Pediatrics Physician
T2829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018896300
—
FL
Enumeration date
03/29/2013
Last updated
07/24/2024
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