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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