Provider Demographics
NPI:1225355019
Name:TWARDY, BERNADETTE ELIZABETH (MD)
Entity Type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:ELIZABETH
Last Name:TWARDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 QUAKER RIDGE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-6949
Mailing Address - Country:US
Mailing Address - Phone:610-738-8085
Mailing Address - Fax:
Practice Address - Street 1:1500 QUAKER RIDGE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-6949
Practice Address - Country:US
Practice Address - Phone:610-738-8085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026424-L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
B32498Medicare UPIN