Provider Demographics
NPI:1598802647
Name:BERKOWITZ, ROBERT P (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:P
Last Name:BERKOWITZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 MEDICAL CENTER BLVD
Mailing Address - Street 2:ACP SUITE 333
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3902
Mailing Address - Country:US
Mailing Address - Phone:610-447-7613
Mailing Address - Fax:610-872-9221
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:ACP SUITE 333
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-3902
Practice Address - Country:US
Practice Address - Phone:610-447-7613
Practice Address - Fax:610-872-9221
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2014-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD034409E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001520800Medicaid
PA628340Medicare PIN
PAE51149Medicare UPIN