Provider Demographics
NPI:1497849913
Name:BERKOWITZ, ALLEN R (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:R
Last Name:BERKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 ASYLUM AVE
Mailing Address - Street 2:SUITE 2126
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1770
Mailing Address - Country:US
Mailing Address - Phone:860-728-6740
Mailing Address - Fax:860-547-1554
Practice Address - Street 1:299 CAREW ST STE 409
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2361
Practice Address - Country:US
Practice Address - Phone:413-788-7321
Practice Address - Fax:413-733-6369
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT56087207X00000X, 2086S0105X
MA273339207X00000X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2K3426OtherHEALTHNET
NJ0500852OtherGHI
NJ1243632OtherUNITED HEALTHCARE
NJ157010OtherGREAT WEST
NJ6568F02204Other1ST OPTION
NJ3733523BOtherCIGNA
NJ4221720OtherAETNA
NJ0196709000OtherAMERIHEALTH
NJ0196709000OtherKEYSTONE
NJBNS011OtherOXFORD
NJ0500852OtherGHI
NJ4221720OtherAETNA