Provider Demographics
NPI:1164409819
Name:BERNARDIN, RONALD MAURICE III (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:MAURICE
Last Name:BERNARDIN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:707 WHITE HORSE RD
Mailing Address - Street 2:SUITE C103
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2461
Mailing Address - Country:US
Mailing Address - Phone:856-627-1900
Mailing Address - Fax:856-627-6907
Practice Address - Street 1:707 WHITE HORSE ROAD SUITE C103
Practice Address - Street 2:MACAIONE AND PAPA DERMATOLOGY ASSOCIATES
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-627-1900
Practice Address - Fax:856-627-6907
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-23
Last Update Date:2015-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-12603207N00000X
HI126032083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine