Provider Demographics
NPI:1639343155
Name:BERKOWITZ, SHARON F (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:F
Last Name:BERKOWITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 JAYWOOD MANOR DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-1126
Mailing Address - Country:US
Mailing Address - Phone:732-458-9696
Mailing Address - Fax:732-458-9480
Practice Address - Street 1:2 JAYWOOD MANOR DR
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-1126
Practice Address - Country:US
Practice Address - Phone:732-458-9696
Practice Address - Fax:732-458-9480
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02546500207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology