Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 273339 | MA |
N | 207X00000X | Orthopaedic Surgeon | 56087 | CT |
Y | 2086S0105X | Surgery of the Hand | 273339 | MA |
N | 2086S0105X | Surgery of the Hand | 56087 | CT |
NPI | 1497849913 |
---|---|
Provider Name | Allen R Berkowitz |
First Address | Hartford, CT 06105-1770 |
Second Address | Springfield, MA 01104-2361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 13/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0196709000 | AMERIHEALTH (01) | NJ |
0196709000 | KEYSTONE (01) | NJ |
0500852 | GHI (01) | NJ |
1243632 | UNITED HEALTHCARE (01) | NJ |
157010 | GREAT WEST (01) | NJ |
2K3426 | HEALTHNET (01) | NJ |
3733523B | CIGNA (01) | NJ |
4221720 | AETNA (01) | NJ |
6568F02204 | 1ST OPTION (01) | NJ |
BNS011 | OXFORD (01) | NJ |
E59178 | (02) | NJ |