Healthcare Provider Details

I. General information

NPI: 1275524019
Provider Name (Legal Business Name): BERKS CARDIOLOGISTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 KEISER BLVD
WYOMISSING PA
19610-3338
US

IV. Provider business mailing address

2605 KEISER BLVD
WYOMISSING PA
19610-3338
US

V. Phone/Fax

Practice location:
  • Phone: 610-685-8500
  • Fax: 610-378-5131
Mailing address:
  • Phone: 610-685-8500
  • Fax: 610-378-5131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: VALERIE DEVINE
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 610-685-8500