SearchNew Jersey156FX1800X

Jim Dela Barerra

NPI 1609064583 · on the registry since 2007

Practice

Address
1083 Broad St
Bloomfield, NJ 07003
Phone
(973) 338-1717
Fax
(973) 338-1717
Organisation at this address
Pd Optics Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey