Provider Demographics
NPI:1285798322
Name:MCDONNELL, BERNARD CHARLES (DO)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:CHARLES
Last Name:MCDONNELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:9 HORSETRAIL LN
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2467
Mailing Address - Country:US
Mailing Address - Phone:610-270-8371
Mailing Address - Fax:610-279-8332
Practice Address - Street 1:2701 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1820
Practice Address - Country:US
Practice Address - Phone:610-270-8371
Practice Address - Fax:610-279-8332
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS003039L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine