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BEREDO PHYSICAL THERAPY AND WELLNESS LLC NPI 1457780421


NPI Information

NPI: 1457780421
Provider Name: BEREDO PHYSICAL THERAPY AND WELLNESS, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
267 BROADWAY
BAYONNE, NJ
ZIP 07002
Phone: (201) 354-9580
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BEREDO PHYSICAL THERAPY AND WELLNESS, LLC is a specialist in Bayonne, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BEREDO PHYSICAL THERAPY AND WELLNESS, LLC NPI is 1457780421. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

267 BROADWAY
BAYONNE, NJ
ZIP 07002-519
Phone: (201) 354-9580
Fax: (201) 354-9581

The provider's authorized official is Gary Beredo .
The authorized official title is Physical Therapist/ceo and has the following contact phone number (201) 354-9580.

The enumeration date for this NPI number is 11/11/2013 and was last updated on 11/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist40QA01002900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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