Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 0102201293 | VA |
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 59043 | GA |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | C2-0006618 | DE |
NPI | 1306997861 |
---|---|
Provider Name | Dr. Murray R Berkowitz |
First Address | Alpharetta, GA 30005-0008 |
Second Address | Alpharetta, GA 30005-0008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 22/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H77378 | (02) | GA |