Organization
BUCKS PHILADELPHIA MEDICAL CARE GRP
Active
Other names
BPMCG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MARK BERKOWITZ MD (PRESIDENT)
(215) 947-6143
Entity
Organization
Contact information
Practice address
9622 BUSTLETON AVENUE, SUITE 2, PHILADELPHIA, PA 19115
(215) 947-6143
(215) 947-6274
Mailing address
725 LISA CIRCLE, HUNTINGDON VALLEY, PA 19006-2223
(215) 947-6143
(215) 947-6274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD036462E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011215100001
—
PA
01
—
0486513000
PERSONAL CHOICE
PA
01
—
0486513001
BLUE SHIELD HIGHMARK KEY
PA
Enumeration date
01/26/2007
Last updated
08/22/2020
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