Provider Demographics
NPI:1720259237
Name:BERKOWITZ, ROSALIND M (MD)
Entity Type:Individual
Prefix:
First Name:ROSALIND
Middle Name:M
Last Name:BERKOWITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 HEDGEMAN RD
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-1309
Mailing Address - Country:US
Mailing Address - Phone:856-235-6533
Mailing Address - Fax:856-235-6533
Practice Address - Street 1:242 HEDGEMAN RD
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1309
Practice Address - Country:US
Practice Address - Phone:856-235-6533
Practice Address - Fax:856-235-6533
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03890600207RH0003X
PAMD022093E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology