Individual
DR. JONATHAN LAURENCE BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303
(765) 281-2030
Mailing address
1200 W WHITE RIVER BLVD, RCS PROVIDER ENROLLMENT, MUNCIE, IN 47303-4988
(765) 254-4009
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
01081263A
IN
207RH0003X
Hematology & Oncology Physician
A116529
CA
207RX0202X
Medical Oncology Physician
Primary
01081263A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300020674
—
IN
Enumeration date
06/13/2007
Last updated
03/04/2019
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