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Individual

VITALIANO B BERNARDINO JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1205 LANGHORNE NEWTOWN RD, SUITE 215, LANGHORNE, PA 19047-1219
(215) 752-7194
(215) 752-7841
Mailing address
PO BOX 397, LANGHORNE, PA 19047-0397
(215) 752-7194
(215) 752-7841

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD035090L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01607671
PA
Enumeration date
06/10/2006
Last updated
07/08/2007
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