Provider Demographics
NPI:1811214836
Name:BIERNAT, MARDI TUTTLE (CHOM)
Entity Type:Individual
Prefix:
First Name:MARDI
Middle Name:TUTTLE
Last Name:BIERNAT
Suffix:
Gender:F
Credentials:CHOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2098 DEEP MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-7412
Mailing Address - Country:US
Mailing Address - Phone:267-613-8760
Mailing Address - Fax:
Practice Address - Street 1:2098 DEEP MEADOW LN
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-7412
Practice Address - Country:US
Practice Address - Phone:267-613-8760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath