Provider Demographics
NPI:1740542489
Name:ATEM, BERNARD M
Entity type:Individual
Prefix:
First Name:BERNARD
Middle Name:M
Last Name:ATEM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 LANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:CHEVERLEY
Mailing Address - State:MD
Mailing Address - Zip Code:20784
Mailing Address - Country:US
Mailing Address - Phone:240-706-0271
Mailing Address - Fax:
Practice Address - Street 1:3815 LANDOVER RD
Practice Address - Street 2:
Practice Address - City:CHEVERLEY
Practice Address - State:MD
Practice Address - Zip Code:20784
Practice Address - Country:US
Practice Address - Phone:240-706-0271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide