Provider Demographics
NPI:1932229093
Name:BERKS MEDICAL SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:BERKS MEDICAL SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STRAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-375-8577
Mailing Address - Street 1:403 N 13TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-2822
Mailing Address - Country:US
Mailing Address - Phone:610-375-8577
Mailing Address - Fax:610-375-9918
Practice Address - Street 1:403 N 13TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-2822
Practice Address - Country:US
Practice Address - Phone:610-375-8577
Practice Address - Fax:610-375-9918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABE16531Medicare ID - Type Unspecified