MEDICARE: ALLEN R BERKOWITZ 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	207X00000X	Orthopaedic Surgery Physician	56087	CT
2	207X00000X	Orthopaedic Surgery Physician	273339	MA
3	2086S0105X	Surgery of the Hand (Surgery) Physician	56087	CT
4	2086S0105X	Surgery of the Hand (Surgery) Physician	273339	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2K3426	OTHER	NJ	HEALTHNET
2	0500852	OTHER	NJ	GHI
3	1243632	OTHER	NJ	UNITED HEALTHCARE
4	157010	OTHER	NJ	GREAT WEST
5	6568F02204	OTHER	NJ	1ST OPTION
6	3733523B	OTHER	NJ	CIGNA
7	4221720	OTHER	NJ	AETNA
8	0196709000	OTHER	NJ	AMERIHEALTH
9	0196709000	OTHER	NJ	KEYSTONE
10	BNS011	OTHER	NJ	OXFORD

General Provider Information

NPI Number	:	1497849913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN R BERKOWITZ MD

Provider Business Mailing Address
First Line	:	1000 ASYLUM AVE
Second Line	:	SUITE 2126
City	:	HARTFORD
State	:	CT
Zip	:	06105-1770
Country	:	US
Telephone Number	:	860-728-6740
Fax Number	:	860-547-1554

Provider Business Practice Location Address
First Line	:	299 CAREW ST STE 409
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01104-2361
Country	:	US
Telephone Number	:	413-788-7321
Fax Number	:	413-733-6369

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	09/13/2018

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