Individual provider · Type 1 NPI
Nicholas Joseph Bevilacqua, DPM
Foot & Ankle Surgery Podiatrist · Teaneck, NJ
NPI number
1487754131
Active
Practice location
730 Palisade Ave
Teaneck, NJ 07666-3144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 25MD00304300 (NJ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1487754131
Nicholas Joseph Bevilacqua, DPM's National Provider Identifier is 1487754131, issued on Sep 23, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Teaneck, NJ. The record was last updated on Oct 28, 2015.