Organization
PROVIDERCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC A BERKOWITZ DPM (PODIATRIST)
(216) 392-4290
Entity
Organization
Contact information
Practice address
23250 CHAGRIN BLVD STE 150, BEACHWOOD, OH 44122-5417
(216) 402-0027
(330) 574-1050
Mailing address
23250 CHAGRIN BLVD STE 150, BEACHWOOD, OH 44122-5417
(216) 402-0027
(330) 574-1050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
347002808C
OH
213ES0131X
Foot Surgery Podiatrist
Primary
36003471
OH
Other
Enumeration date
08/29/2016
Last updated
04/21/2022
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