Individual
JARED R. BERKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1562 OPOSSUMTOWN PIKE FL 3, FREDERICK, MD 21702
(301) 663-4774
(301) 695-1364
Mailing address
1562 OPOSSUMTOWN PIKE FL 3, FREDERICK, MD 21702-4337
(301) 663-4774
(301) 695-1364
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D68593
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417323600
—
MD
Enumeration date
02/16/2007
Last updated
04/30/2019
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