Individual
DR. NICHOLAS JOSEPH BEVILACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
730 PALISADE AVE, TEANECK, NJ 07666-3144
(201) 353-9000
Mailing address
730 PALISADE AVE, TEANECK, NJ 07666-3144
(201) 353-9000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00304300
NJ
Other
Enumeration date
09/23/2006
Last updated
10/28/2015
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