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Individual

MR. MICHAEL ANGELO BERMUDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
178 OGDEN AVE, JERSEY CITY, NJ 07307-1337
(201) 963-3441
Mailing address
410 W 23RD ST, APT. 3B, NEW YORK, NY 10011-2123
(646) 765-6844

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
010831-1
NY
225X00000X
Occupational Therapist
Primary
46TR00266500
NJ

Other

Enumeration date
03/21/2007
Last updated
07/20/2008
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