Fred C. Bergamo, Dds, Pa

NPI 1861564502 - Dentist - 1223G0001X

NPI Details
NPI 1861564502
Enumeration Date 11/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FRED CHARLES FRED
Position PRESIDENT
Phone (201) 261-0212
Fax (201) 261-6272
Practice Location
500 N FARVIEW AVE
PARAMUS NJ, 07652-4104, US
Phone (201) 261-0212
Fax (201) 261-6272
Business Location
500 N FARVIEW AVE
PARAMUS NJ, 07652-4104, US
Phone (201) 261-0212
Fax (201) 261-6272
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number 220100796100
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According to our database, Fred C. Bergamo, Dds, Pa NPI is 1861564502, taxonomy code is 1223G0001X and license number is 220100796100, license state is located at New Jersey. Fred C. Bergamo, Dds, Pa physically located at 500 N Farview Ave, Paramus NJ, 07652-4104. NPI Number 1033115704 has the healthcare provider type.

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1861564502 NPI number is provided on an as is basis without warranty of any kind. 1861564502 is maintained by the National Plan & Provider Enumeration System. The contents of Fred C. Bergamo, Dds, Pa are for informational purposes only.