Ajay V. Berdia M.D.

NPI 1801891908 - Specialist - 174400000X

NPI Details
NPI 1801891908
Gender Male
Enumeration Date 06/15/2005
Last Updated 06/06/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
640 BELLE TERRE ROAD, BUILDING H
PORT JEFFERSON NY, 11777-0001, US
Phone (631) 474-1112
Fax (631) 474-1112
Business Location
200 BELLE TERRE RD
PORT JEFFERSON NY, 11777-1928, US
Phone (631) 474-6300
Fax (631) 474-6161
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 196859
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According to our database, Ajay V. Berdia M.D. NPI is 1801891908, taxonomy code is 174400000X and license number is 196859, license state is located at New York. Ajay V. Berdia M.D. physically located at 640 Belle Terre Road, Building H, Port Jefferson NY, 11777-0001. NPI Number Ajay V. Berdia M.D. has the Individual type.

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1801891908 NPI number is provided on an as is basis without warranty of any kind. 1801891908 is maintained by the National Plan & Provider Enumeration System. The contents of Ajay V. Berdia M.D. are for informational purposes only.