Provider Demographics
NPI:1053357186
Name:BERNARDEZ, OSCAR F (MD,)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:F
Last Name:BERNARDEZ
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MULE RD UNIT B7
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-5037
Mailing Address - Country:US
Mailing Address - Phone:732-240-3228
Mailing Address - Fax:732-240-2205
Practice Address - Street 1:25 MULE RD UNIT B7
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5037
Practice Address - Country:US
Practice Address - Phone:732-240-3228
Practice Address - Fax:732-240-2205
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA29927174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist