Organization
DOMINION HEALTHCARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETT ALFRED APN (NURSE PRACTITIONER)
(484) 402-0166
Entity
Organization
Contact information
Practice address
6536 WOODLAND AVE, PHILADELPHIA, PA 19142-2215
(484) 402-1660
(856) 935-9123
Mailing address
208 BANTRY ST, SWEDESBORO, NJ 08085-3190
(484) 402-0166
(856) 935-9123
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
11/18/2025
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