Organization
BUCKS PHILADELPHIA MEDICAL CARE GROUP
Active
Organization
BUCKS PHILADELPHIA MEDICAL CARE GROUP
Active
Other names
BPMCG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MARK BERKOWITZ M.D. (PRESIDENT)
(215) 947-6143
Entity
Organization
Contact information
Practice address
1718 WELSH ROAD, PHILADELPHIA, PA 19115-3100
(215) 947-6143
(215) 947-6274
Mailing address
725 LISA CIR, 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
—
0011212100001
—
PA
01
—
0486513000
PERSONAL CHOICE
PA
01
—
0486513001
BLUE SHLD,HIGHMRK,KEYSTON
PA
Enumeration date
01/20/2007
Last updated
08/12/2014
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