MEDICARE: DR. JOSEPH WILLIAM BERKOW M.D.

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	207W00000X	Ophthalmology Physician	D0000683	MD

General Provider Information

NPI Number	:	1881695179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH WILLIAM BERKOW M.D.

Provider Business Mailing Address
First Line	:	8511 ARBORWOOD RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21208-1503
Country	:	US
Telephone Number	:	410-484-8750
Fax Number	:

Provider Business Practice Location Address
First Line	:	2411 W BELVEDERE AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-5228
Country	:	US
Telephone Number	:	410-601-5700
Fax Number	:

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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