Doctor Name: | DR. ANTHONY CLAYTON BERLET |
NPI Number: | 1184691594 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA05624200 |
Business Practice Address: | 908 Pompton Ave Suite A-1 Cedar Grove, NJ - 070091253 |
Business Phone Number: | 9738577757 |
Business Fax Number: | 9738577758 |
Mailing Address: | 15 Aspen Dr, NORTH CALDWELL |
State: | NJ |
Postal Code: | 070064555 |
Phone Number: | 9736180259 |
Fax Number: | 9738577757 |
NPI Enumeration Date: | 03/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 25MA05624200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |