Provider Demographics
NPI:1902849615
Name:HURLEY, BERNARD R (MD)
Entity Type:Individual
Prefix:
First Name:BERNARD
Middle Name:R
Last Name:HURLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:840 WALNUT STREET
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5109
Mailing Address - Country:US
Mailing Address - Phone:215-928-3300
Mailing Address - Fax:215-825-4723
Practice Address - Street 1:840 WALNUT STREET
Practice Address - Street 2:SUITE 1020
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5109
Practice Address - Country:US
Practice Address - Phone:215-928-3300
Practice Address - Fax:215-825-4723
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD424010207W00000X
PAMT184531207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology