Individual
BERTRAM STRACHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 STRAWBERRY HILL AVE, WOODBRIDGE, NJ 07095-2632
(646) 703-3824
Mailing address
148 STRAWBERRY HILL AVE, WOODBRIDGE, NJ 07095-2632
(646) 703-3824
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
059969
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2016
Last updated
04/16/2019
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