Individual
JARED J BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14541 W INDIAN SCHOOL RD, STE 600, GOODYEAR, AZ 85395-9243
(623) 535-5599
(623) 535-4696
Mailing address
14541 W INDIAN SCHOOL RD, STE 600, GOODYEAR, AZ 85395-9243
(623) 535-5599
(623) 535-4696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41075
AZ
208000000X
Pediatrics Physician
41075
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431499
—
AZ
Enumeration date
05/01/2007
Last updated
05/12/2011
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