Individual
DR. ANDREW MARK BERKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1718 WELSH RD, PHILADELPHIA, PA 19115-4213
(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
—
0011215100001
—
PA
01
—
0081708000
KEYSTONE HEALTH PLAN
PA
Enumeration date
01/20/2007
Last updated
08/08/2014
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