Individual
BRETT CERNIGLIA
Active
Individual
BRETT CERNIGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT206281
PA
2085R0202X
Diagnostic Radiology Physician
Primary
25MA10769700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1E2984
MEDICARE
NJ
01
—
25MA10769700
STATE MEDICAL LICENSE
NJ
Enumeration date
06/04/2014
Last updated
06/24/2021
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