Organization
COMPLETE FOOT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAY BERKOWITZ D.P.M. (OWNER)
(440) 435-3338
Entity
Organization
Contact information
Practice address
88 CENTER RD, SUITE 100, BEDFORD, OH 44146-2708
(440) 735-3338
(440) 735-8234
Mailing address
88 CENTER RD, SUITE 100, BEDFORD, OH 44146-2708
(440) 735-3338
(440) 735-8234
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36001803
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0358849
—
OH
Enumeration date
02/23/2012
Last updated
02/23/2012
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