| 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 |