Individual
SCOTT LOUIS ITZKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10614 RACETRACK RD STE 5, BERLIN, MD 21811-3376
(410) 629-1450
(410) 629-1460
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 635-3906
(252) 224-0378
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H0064321
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548240229
—
NC
Enumeration date
01/19/2006
Last updated
03/05/2024
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