Individual
DR. NICHOLAS BERARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
605 BROAD AVE, SUITE 101, RIDGEFIELD, NJ 07657
(201) 941-9494
(201) 941-1246
Mailing address
16 JOHNSON AVENUE, HACKENSACK, NJ 07601
(201) 342-7353
(201) 342-7982
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
D114406
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
22DI01440601
NJ
Other
Enumeration date
08/07/2006
Last updated
05/13/2024
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