Individual
DR. JOHN MARLEY BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 CARNIE BLVD, VOORHEES, NJ 08043-1548
(856) 325-5060
(856) 325-3197
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA68867
NJ
208D00000X
General Practice Physician
25MA06886700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223586506003
CHAMPUS-TRICARE
NJ
05
—
7973209
—
NJ
01
—
930081888
RAILROAD MEDICARE
—
Enumeration date
06/02/2006
Last updated
12/08/2020
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