Organization
BERNARD HENSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD HENSON MD (OWNER)
(973) 904-1704
Entity
Organization
Contact information
Practice address
220 HAMBURG TPKE STE 18A, WAYNE, NJ 07470-2132
(973) 904-1704
(973) 595-8741
Mailing address
220 HAMBURG TPKE STE 18A, WAYNE, NJ 07470-2132
(973) 904-1704
(973) 595-8741
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA03972500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3315207
—
NJ
Enumeration date
10/24/2006
Last updated
07/24/2008
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