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Individual
MARIE G BERNARD
Active
Individual
MARIE G BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA05548300
NJ
208D00000X
General Practice Physician
Primary
MA55483
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080123744
RAILROAD MEDICARE ID#
NJ
Enumeration date
11/08/2006
Last updated
08/26/2020
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