Individual
DR. BARRY E DIBERNARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, P.C.
Contact information
Practice address
29 PARK ST, MONTCLAIR, NJ 07042-3407
(973) 509-2000
(973) 655-1228
Mailing address
29 PARK ST, MONTCLAIR, NJ 07042-3407
(973) 509-2000
(973) 655-1228
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA05590900
NJ
Other
Enumeration date
11/30/2006
Last updated
11/09/2007
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