# MARIE G BERNARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710057625
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25MA05548300 | NJ | — |
| 208D00000X | General Practice Physician | MA55483 | NJ | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/26/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080123744 | RAILROAD MEDICARE ID\# | NJ |