Provider Demographics
NPI:1356374193
Name:BERKOWITZ, NEAL J (MD)
Entity type:Individual
Prefix:
First Name:NEAL
Middle Name:J
Last Name:BERKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1251 TURNSTONE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:FOGELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18051-1713
Mailing Address - Country:US
Mailing Address - Phone:610-336-4676
Mailing Address - Fax:833-221-0341
Practice Address - Street 1:1251 TURNSTONE DR STE 120
Practice Address - Street 2:
Practice Address - City:FOGELSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18051-1713
Practice Address - Country:US
Practice Address - Phone:610-336-4676
Practice Address - Fax:833-221-0341
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD023690E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine