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Individual

ROGER L BERKOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
35 JESSE HILL JR DR SE, ATLANTA, GA 30303-3032
(404) 785-9850
Mailing address
720 WESTVIEW DRIVE SW, HARRIS BLDG., 100-A, ATLANTA, GA 30310
(404) 756-1400

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.11429
AL
208000000X
Pediatrics Physician
MD.11429
AL
208000000X
Pediatrics Physician
ME117016
FL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
86596
GA
2080P0207X
Pediatric Hematology & Oncology Physician
MD.11429
AL
2080P0207X
Pediatric Hematology & Oncology Physician
ME117016
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009928300
AL
01
1528055753
TRICARE SOUTH
AL
01
510-95530
BCBS
AL
01
5656157
AETNA
AL
Enumeration date
10/03/2005
Last updated
01/12/2021
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