Terry, Bernard
Terry, Bernard is an individual health care provider with primary practice located at 3900 Park Ave Ste 107, Edison NJ 08820-3032. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Terry, Bernard can be contacted via phone (732) 548-6800.Contact Information
Primary practice address
3900 Park Ave Ste 107
Edison NJ 08820-3032
Phone: (732) 548-6800
Fax: (732) 548-6290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA02814700 | New Jersey |
Profile Details
| NPI number | 1134125875 |
|---|---|
| LBN Legal business name | Terry, Bernard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | May 28th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134125875 | NPPES |
| New Jersey | Other | 300102258 | RAILROAD MEDICARE - SMC |
| New Jersey | Other | 300025891 | RAILROAD MEDICARE - SMC |
| New Jersey | MEDICAID | 1728105 | RAILROAD MEDICARE - SMC |
| New Jersey | Other | 300009509 | RAILROAD MEDICARE - SMC |
| New Jersey | Other | 300102258 | RAILROAD MEDICARE - SMC |
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