Organization
GUILLERMO BERNAL, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO BERNAL MD (OWNER)
(302) 875-9355
Entity
Organization
Contact information
Practice address
405 N CENTRAL AVE STE A, LAUREL, DE 19956-1104
(302) 875-9355
Mailing address
646 N DUAL HWY, SEAFORD, DE 19973-1756
(302) 628-2687
(302) 628-3791
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C10001671
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000186501
—
DE
Enumeration date
07/13/2006
Last updated
08/22/2020
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