Provider Demographics
NPI:1275543126
Name:BERKSON, ARTHUR JOSHUA (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:JOSHUA
Last Name:BERKSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 COMMERCE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8257
Mailing Address - Country:US
Mailing Address - Phone:575-524-3720
Mailing Address - Fax:575-524-3721
Practice Address - Street 1:1155 COMMERCE DR
Practice Address - Street 2:SUITE C
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8257
Practice Address - Country:US
Practice Address - Phone:575-524-3720
Practice Address - Fax:575-524-3721
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2006-0511207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine