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General NPI Number Information
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NPI Number | 1134422769
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Entity Type | Organization
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Legal Business Name | ROBERT BERKOWITZ,M.D.,P.A.
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 448 LAKEHURST RD
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City | TOMS RIVER
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State | NJ
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Zip | 08755-6380
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Country | US
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Telephone | 732-244-6066
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Fax | 732-244-3144
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Provider Business Mailing Address
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Address Line | 448 LAKEHURST RD
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City | TOMS RIVER
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State | NJ
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Zip | 08755-6380
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Country | US
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Telephone | 732-244-6066
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Fax | 732-244-3144
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT BERKOWITZ
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Credential | M.D.
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Telephone | 732-244-6066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MA29925
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License Number State | NJ
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