Doctor Name: | MARIE G BERNARD |
NPI Number: | 1710057625 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MA55483 |
Business Practice Address: | 111 Rt 31 Suite 111 Flemington, NJ - 088225772 |
Business Phone Number: | 9082849880 |
Business Fax Number: | 9087824316 |
Mailing Address: | 111 Route 31, Suite 111 FLEMINGTON |
State: | NJ |
Postal Code: | 088225795 |
Phone Number: | 9082849880 |
Fax Number: | 9087824316 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 09/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MA55483 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |