Individual
MRS. LOUISE BERNARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Mailing address
110 GREEN AVE, MADISON, NJ 07940
(908) 647-3621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP0006100
NJ
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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