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Individual

MR. BERNARD R. RACEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4745 OGLETOWN STANTON RD, MAP 1 SUITE 128, NEWARK, DE 19713-2067
(302) 733-1000
Mailing address
774 CHRISTIANA RD, STE 202, NEWARK, DE 19713-4221
(302) 366-7671
(302) 366-7549

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000280
DE

Other

Enumeration date
11/01/2007
Last updated
04/17/2017
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