Organization
SALVATORE BERNARDO, JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVATORE BERNARDO JR. M.D. (OWNER)
(732) 683-9897
Entity
Organization
Contact information
Practice address
4255 US HIGHWAY 9, SUITE B, FREEHOLD, NJ 07728-8305
(732) 683-9897
(732) 683-9674
Mailing address
PO BOX 6069, FREEHOLD, NJ 07728-6069
(732) 683-9897
(732) 683-9674
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA06069400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7202008
—
NJ
Enumeration date
08/26/2007
Last updated
08/26/2007
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