Individual
SHELLY Z BERKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
51 LOCUST ST, #5, NORTHAMPTON, MA 01060-2045
(413) 582-0456
(413) 582-0458
Mailing address
51 LOCUST ST, #5, NORTHAMPTON, MA 01060-2045
(413) 582-0456
(413) 582-0458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80543
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000008344
BMC HEALTHNET
MA
01
—
080543
TUFTS
MA
01
—
101485
AETNA
MD
01
—
10248601
CIGNA
MA
01
—
24677
HEALTH NEW ENGLAND
MA
05
—
3184790
—
MA
01
—
71934
HARVARD
MA
01
—
805431
CONNECTICARE
MA
01
—
J18360
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
01/25/2006
Last updated
01/09/2013
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