Individual
DR. JAY ALLAN BERNASCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, OCS
Contact information
Practice address
21 TOTMAN ST, FIRST FLOOR, QUINCY, MA 02169-7564
(617) 770-4167
(617) 770-0971
Mailing address
21 TOTMAN ST, FIRST FLOOR, QUINCY, MA 02169-7564
(617) 770-4167
(617) 770-0971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5087
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BEY65909
BC/BS OF MA.
MA
Enumeration date
10/04/2006
Last updated
01/29/2008
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