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NPI Code Detail

MEDICARE: JOSE BERNARDO M.D.

MEDICARE:   JOSE  BERNARDO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician21795WV
2207RN0300XNephrology Physician35085454OH
3207RN0300XNephrology PhysicianMD053458LPA

General Provider Information

NPI Number : 1003813130
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE BERNARDO M.D.
Provider Business Mailing Address
First Line : 870 HOSPITAL RD
Second Line :
City : INDIANA
State : PA
Zip : 15701-3628
Country : US
Telephone Number : 724-349-8636
Fax Number :
Provider Business Practice Location Address
First Line : 870 HOSPITAL RD
Second Line :
City : INDIANA
State : PA
Zip : 15701
Country : US
Telephone Number : 724-349-8636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 11/14/2018

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Directions to “ JOSE BERNARDO M.D.” Practice Location

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