Basic Information
| Provider Information | |||||||||
| NPI: | 1528203809 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BERNABE | ||||||||
| FirstName: | MARIA JOYCE | ||||||||
| MiddleName: | ROWENA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 4979 | ||||||||
| Address2: | |||||||||
| City: | TOMS RIVER | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 087544979 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322444700 | ||||||||
| FaxNumber: | 7322448482 | ||||||||
| Practice Location | |||||||||
| Address1: | 3548 ROUTE 9 | ||||||||
| Address2: | |||||||||
| City: | OLD BRIDGE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088572953 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7326796300 | ||||||||
| FaxNumber: | 7322448482 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2008 | ||||||||
| LastUpdateDate: | 09/04/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 25MA08412800 | NJ | N | Allopathic & Osteopathic Physicians | Family Medicine | 207N00000X | 25MA08412800 | NJ | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.