MEDICARE: DR. GABRIELA BERNAT PHARMD

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
1	183500000X	Pharmacist	28RI02988800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	28RI02988800	OTHER	NJ	PHARMACY LICENSE

General Provider Information

NPI Number	:	1912035437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIELA BERNAT PHARMD

Provider Business Mailing Address
First Line	:	4207 BERGENLINE AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4896
Country	:	US
Telephone Number	:	201-867-6705
Fax Number	:	201-867-3758

Provider Business Practice Location Address
First Line	:	4207 BERGENLINE AVE STE 1
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4896
Country	:	US
Telephone Number	:	201-867-6705
Fax Number	:	201-867-3758

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	05/16/2022

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