Doctor Name: | VITALIANO B BERNARDINO |
NPI Number: | 1720029440 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD035090L |
Business Practice Address: | 1205 Langhorne Newtown Rd Suite 215 Langhorne, PA - 190471219 |
Business Phone Number: | 2157527194 |
Business Fax Number: | 2157527841 |
Mailing Address: | Po Box 397, LANGHORNE |
State: | PA |
Postal Code: | 190470397 |
Phone Number: | 2157527194 |
Fax Number: | 2157527841 |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD035090L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |