DR. Johnathan Peter Velardi

NPI #1104192863 in Montclair, New Jersey

Provider Information

NPI Number: 1104192863
Entity Type: Individual
Name: DR. Johnathan Peter Velardi
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Mar 28, 2012
Last Updated: Jun 10, 2016

Practice Location

Address: 1 BAY AVE
City: Montclair
State: New Jersey
ZIP Code: 07042-4837
Phone: (973) 429-6037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital	282N00000X
Dentist	122300000X	Primary

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