Provider Demographics
NPI:1235790338
Name:BERNARDS FAMILY PRACTICE LLC
Entity Type:Organization
Organization Name:BERNARDS FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:T
Authorized Official - Last Name:MORANDI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-303-3779
Mailing Address - Street 1:665 MARTINSVILLE RD STE 218
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-4700
Mailing Address - Country:US
Mailing Address - Phone:908-607-1877
Mailing Address - Fax:908-607-1866
Practice Address - Street 1:665 MARTINSVILLE RD STE 218
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-4700
Practice Address - Country:US
Practice Address - Phone:908-607-1877
Practice Address - Fax:908-607-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty