Individual
DR. LORI R BERKOWITZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT STREET YAW 4, VINCENT OBGYN SERVICE, BOSTON, MA 02114
(617) 726-7635
(617) 726-4803
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
154062
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154062
TUFTS HEALTH PLAN
MA
05
—
3171248
—
MA
01
—
J17859
BCBS MA
MA
Enumeration date
11/21/2005
Last updated
07/08/2007
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