Individual
BERNARD TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 PARK AVE, STE 107, EDISON, NJ 08820-3032
(732) 548-6800
(732) 548-6290
Mailing address
239 ROUTE 22 EAST, SUITE 302, GREEN BROOK, NJ 08812
(732) 968-4899
(732) 968-8096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02814700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1728105
—
NJ
01
—
300009509
RAILROAD MEDICARE - EDISON
NJ
01
—
300025891
RAILROAD MEDICARE - BRIDGEWATER
NJ
01
—
300102258
RAILROAD MEDICARE - SMC
NJ
Enumeration date
06/27/2005
Last updated
05/28/2008
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