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Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDI BERKOWITZ CRNP (NURSE PRACTITIONER)
(443) 660-6712
Entity
Organization

Contact information

Practice address
3502 MENLO DR, BALTIMORE, MD 21215-3830
(443) 660-6712
(410) 358-5131
Mailing address
3502 MENLO DR, BALTIMORE, MD 21215-3830
(443) 660-6712
(410) 358-5131

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R213211
MD

Other

Enumeration date
05/25/2016
Last updated
05/25/2016
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