MEDICARE: HAROLD L BERKHEIMER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	N/A	CT

General Provider Information

NPI Number	:	1790967727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROLD L BERKHEIMER MD

Provider Business Mailing Address
First Line	:	145 MOUNT PLEASANT RD
Second Line	:
City	:	NEWTOWN
State	:	CT
Zip	:	06470-1438
Country	:	US
Telephone Number	:	203-313-1365
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 MOUNT PLEASANT RD
Second Line	:
City	:	NEWTOWN
State	:	CT
Zip	:	06470-1438
Country	:	US
Telephone Number	:	203-313-1365
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2007
Last Update Date	:	11/30/2007

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