Individual
DR. BARRY I BERCOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1106 ANNAPOLIS RD, ODENTON, MD 21113-1637
(410) 874-1400
(410) 874-1411
Mailing address
3100 WYMAN PARK DRIVE, SUITE 359A, BALTIMORE, MD 21211
(410) 874-1400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D36033
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277601400
—
MD
Enumeration date
09/08/2006
Last updated
06/10/2014
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