NPI 1124823018

Jean Walace Bernard

Practitioner Driver Rahway, NJ

Practice location

Address: 1436 Lawrence St Fl 2, Rahway, NJ 07065-5132
Phone: (908) 630-8928

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1124823018
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2025
Record last updated: 15 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.