Provider Demographics
NPI:1497707004
Name:BERLOWITZ, DAN ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:ROBERT
Last Name:BERLOWITZ
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 1:200 SPRINGS RD
Mailing Address - Street 2:BEDFORD VA HOSPITAL (152)
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1114
Mailing Address - Country:US
Mailing Address - Phone:781-687-2962
Mailing Address - Fax:781-687-3106
Practice Address - Street 1:200 SPRINGS RD
Practice Address - Street 2:BEDFORD VA HOSPITAL (152)
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1114
Practice Address - Country:US
Practice Address - Phone:781-687-2962
Practice Address - Fax:781-687-3106
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA52397207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine