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Individual

MARIE G BERNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 RT 31, SUITE 111, FLEMINGTON, NJ 08822-5772
(908) 284-9880
(908) 782-4316
Mailing address
111 ROUTE 31, SUITE 111, FLEMINGTON, NJ 08822-5795
(908) 284-9880
(908) 782-4316

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA05548300
NJ
208D00000X
General Practice Physician
Primary
MA55483
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080123744
RAILROAD MEDICARE ID#
NJ
Enumeration date
11/08/2006
Last updated
08/26/2020
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