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Individual
DR. JOHN JOSEPH BEREZNY
Active
Individual
DR. JOHN JOSEPH BEREZNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00456700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223393234
TAX ID
NJ
01
—
350051028
RAILROAD MEDICARE
NJ
01
—
5805690
GHI
NJ
05
—
6583903
—
NJ
01
—
P3393234
OXFORD
NJ
Enumeration date
07/25/2006
Last updated
07/08/2007
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