Provider Demographics
NPI:1861417214
Name:DEBERNARDIS, GERARD A (CHIROPRACTOR)
Entity type:Individual
Prefix:DR
First Name:GERARD
Middle Name:A
Last Name:DEBERNARDIS
Suffix:
Gender:M
Credentials:CHIROPRACTOR
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Mailing Address - Street 1:CENTRAL JERSEY SPINE &WELLNESS
Mailing Address - Street 2:4251 RT 9 N BLDG.3 STE.B
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728
Mailing Address - Country:US
Mailing Address - Phone:732-683-1800
Mailing Address - Fax:731-681-1090
Practice Address - Street 1:CENTRAL JERSEY SPINE &WELLNESS
Practice Address - Street 2:4251 RT 9 N BLDG.3 STE.B
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-683-1800
Practice Address - Fax:731-681-1090
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ38MCOO5O7300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor