Doctor Name: | DR. BURTON M BERKSON |
NPI Number: | 1003985706 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD,PHD |
License Number: | 79-9 |
Business Practice Address: | 1155 Commerce Dr Ste C Las Cruces, NM - 880118257 |
Business Phone Number: | 5055243720 |
Business Fax Number: | 5055243721 |
Mailing Address: | 1155 Commerce Dr Ste C, LAS CRUCES |
State: | NM |
Postal Code: | 880118257 |
Phone Number: | 5055243720 |
Fax Number: | 5055243721 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 12/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 79-9 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |