Organization
NELSON V. BERARDINELLI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON V BERARDINELLI (DENTIST)
(724) 733-2122
Entity
Organization
Contact information
Practice address
4154 OLD WILLIAM PEN HIGHWAY, MURRYSVILLE, PA 15668
(724) 733-2122
Mailing address
4154 OLD WILLIAM PENN HWY, MURRYSVILLE, PA 15668-1942
(724) 733-2122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DL021833L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548377278
DME
PA
Enumeration date
08/31/2018
Last updated
08/31/2018
Update your record
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