Individual
DR. MARC RICHARD BERNBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
171 GRANDVIEW AVE, SUITE 104, WATERBURY, CT 06708-2517
(203) 753-2048
(203) 753-5891
Mailing address
171 GRANDVIEW AVE, SUITE 104, WATERBURY, CT 06708-2517
(203) 753-2048
(203) 753-5891
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000447
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409031
—
CT
Enumeration date
01/18/2006
Last updated
11/12/2007
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