Individual
CONCEICAO MARIA BERKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
618 HOSPITAL RD, TAPPAHANNOCK, VA 22560-5000
(804) 443-3311
Mailing address
6902 PARK AVE, RICHMOND, VA 23226-3622
(804) 690-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0024169001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000859724D
—
GA
05
—
000859724E
—
GA
01
—
P00102431
RAILROAD MEDICARE
GA
Enumeration date
10/04/2005
Last updated
03/17/2018
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