Individual
MR. GARY DENNIS O BEREDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
564 BROADWAY STE 2A, BAYONNE, NJ 07002-3825
(201) 339-8889
Mailing address
564 BROADWAY SUITE 2A, BAYONNE, NJ 07002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01002900
NJ
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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