Individual
DR. EDITH BERNOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11130 CAPITAL BLVD, GROWING CHILD PEDIATRICS, PA, WAKE FORST, NC 27587
(919) 488-0015
(919) 488-0021
Mailing address
11130 CAPITAL BLVD, WAKE FOREST, NC 27587-4513
(919) 488-4094
(919) 488-4096
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2000-01186
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137C7
—
NC
Enumeration date
10/25/2006
Last updated
09/26/2011
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