Bermudez, Juan David

Bermudez, Juan David is an individual health care provider with primary practice located at 54 Bey Lea Road Bldg 2, Toms River NJ 08753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bermudez, Juan David can be contacted via phone (732) 281-1020.

Contact Information

Primary practice address
54 Bey Lea Road Bldg 2 Toms River NJ 08753
Phone: (732) 281-1020
Fax: (732) 797-3893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MA055146 New Jersey

Profile Details

NPI number 1982676722
LBN Legal business name Bermudez, Juan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982676722 NPPES
New Jersey MEDICAID 4012909

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