Provider Demographics
NPI:1043520745
Name:BERARDI, ANTHONY F III (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:F
Last Name:BERARDI
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 DEKALB ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3403
Mailing Address - Country:US
Mailing Address - Phone:610-272-2272
Mailing Address - Fax:610-279-1230
Practice Address - Street 1:1313 DEKALB ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3403
Practice Address - Country:US
Practice Address - Phone:610-272-2272
Practice Address - Fax:610-279-1230
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010475111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor