NPI | 1477589414 |
---|---|
Other Name | JOSEPH BERDECIA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 54017) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 28260) |
207Q00000X Family Medicine (Licence: MT 34357) | |
Enumeration Date | 2006-06-23 |
Last Update Date | 2022-07-21 |