Provider Demographics
NPI:1467665620
Name:BERNIER, MARIA CECILIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CECILIA
Last Name:BERNIER
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 1:3304 CHAPPELL PL
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-6290
Mailing Address - Country:US
Mailing Address - Phone:757-687-9626
Mailing Address - Fax:
Practice Address - Street 1:3304 CHAPPELL PL
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6290
Practice Address - Country:US
Practice Address - Phone:757-687-9626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3775207ZP0102X
VA0101249579207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology