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NPI Code Detail

MEDICARE: DR. CLAUDIA E BERDUGO D.O.

MEDICARE: DR. CLAUDIA E BERDUGO D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MB06428000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841285780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAUDIA E BERDUGO D.O.
Provider Business Mailing Address
First Line : 205 SUMMER AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07104-2628
Country : US
Telephone Number : 973-484-2800
Fax Number : 973-484-9633
Provider Business Practice Location Address
First Line : 205 SUMMER AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07104-2628
Country : US
Telephone Number : 973-484-2800
Fax Number : 973-484-9633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 08/16/2013

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