Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 25MA05291700 | NJ |
N | 207RC0000X | Internist - Cardiovascular Disease | 25MA05291700 | NJ |
NPI | 1437217973 |
---|---|
Provider Name | Dr. Robert L Berkowitz |
First Address | Hackensack, NJ 07601-1997 |
Second Address | Hackensack, NJ 07601-1999 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 17/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0868604 | (05) | NJ |
A64387 | (02) |