Individual
DR. BERNIER LAUREDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BALL ST, SUITE 100, IRVINGTON, NJ 07111-3521
(973) 371-1600
(973) 372-7677
Mailing address
22 BALL ST, SUITE 100, IRVINGTON, NJ 07111-3521
(973) 371-1600
(973) 372-7677
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
25MA05388700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0677701
—
NJ
Enumeration date
08/19/2006
Last updated
07/08/2007
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