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General NPI Number Information
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NPI Number | 1508912007
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Entity Type | Organization
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Legal Business Name | BUCKS PHILADELPHIA MEDICAL CARE GRP
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9622 BUSTLETON AVENUE SUITE 2
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City | PHILADELPHIA
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State | PA
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Zip | 19115
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Country | US
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Telephone | 215-947-6143
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Fax | 215-947-6274
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Provider Business Mailing Address
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Address Line | 725 LISA CIRCLE
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-2223
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Country | US
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Telephone | 215-947-6143
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Fax | 215-947-6274
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW MARK BERKOWITZ
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Credential | MD
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Telephone | 215-947-6143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD036462E
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License Number State | PA
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