R LAURENCE BERKOWITZ

AESTHETX

Dr R LAURENCE BERKOWITZ is a male medical professional, specializing in Plastic And Reconstructive Surgery. He graduated in 1973 from Ohio State University College Of Medicine.

Contact

AESTHETX

3803 S BASCOM AVE
SUITE 100
CAMPBELL
CA
950087317

Tel: 4085597177

R LAURENCE BERKOWITZ Information

Npi 1154417657
Pac Id 4688799554
Professional Enrollment Id I20100915000808
Last Name BERKOWITZ
First Name R LAURENCE
Middle Name
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Gender M
Credential
Medical School Name OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1973
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name AESTHETX
Group Practice Pac Id 6507134517
Number Of Group Practice Members 3
Line 1 Street Address 3803 S BASCOM AVE
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City CAMPBELL
State CA
Zip Code 950087317
Phone Number 4085597177
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Hospital Affiliation Ccn 2
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Professional Accepts Medicare Assignment Y

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