Individual provider · NPI-1

Dr. Ira Charles Berkowitz, M.D.

Family Medicine · Santa Fe, NM

NPI number1487852463
StatusActive
Last updated in NPPESMar 21, 2014

Details

NPI
1487852463
Entity type
Individual (NPI-1)
Name
Dr. Ira Charles Berkowitz
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 11, 2007
Last updated
Mar 21, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine82-167NMYes

Practice location

2019 Galisteo St
J-1
Santa Fe, NM 87505-2143

Phone 505-820-0446 · Fax 505-820-6142

Mailing address

2019 Galisteo St
J-1
Santa Fe, NM 87505-2143

Phone 505-820-0446 · Fax 505-820-6142

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