Provider Demographics
NPI:1306997861
Name:BERKOWITZ, MURRAY R (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:R
Last Name:BERKOWITZ
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3333 OLD MILTON PKWY STE 170
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-0008
Mailing Address - Country:US
Mailing Address - Phone:678-513-2228
Mailing Address - Fax:678-513-1147
Practice Address - Street 1:3333 OLD MILTON PKWY STE 170
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-0008
Practice Address - Country:US
Practice Address - Phone:678-513-2228
Practice Address - Fax:678-513-1147
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201293204D00000X
DEC2-0006618204D00000X
GA590432083X0100X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA491400Medicare PIN
GAH77378Medicare UPIN