Individual
DR. MARK BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
800 HUNTINGTON AVENUE, BOSTON, MA 02115-3002
(617) 936-6100
Mailing address
800 HUNTINGTON AVENUE, BOSTON, MA 02115
(201) 936-1030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4862
MA
Other
Enumeration date
07/21/2011
Last updated
03/21/2013
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