Individual
GARY BERNARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2615
Mailing address
130 LAKE ST, WEST HAVEN, CT 06516-6816
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004837
CT
Other
Enumeration date
10/12/2011
Last updated
11/25/2011
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