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Individual

DR. BERNARDO A POCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3674
(732) 442-3700
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4918
(732) 212-0060

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA05935100
NJ
207R00000X
Internal Medicine Physician
25MA05935100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39448803
NJ
05
7073003
NJ
01
P00618290
MEDICARE RAILROAD CARRIER
NJ
Enumeration date
09/08/2005
Last updated
08/30/2010
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