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NPI Code Detail

MEDICARE: DR. JEFFREY PAUL BERNSTEIN M.D.

MEDICARE: DR. JEFFREY PAUL BERNSTEIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine PhysicianD0036595MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
233195OTHERMDPRIORITY PARTNERS MCO

General Provider Information

NPI Number : 1871534867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY PAUL BERNSTEIN M.D.
Provider Business Mailing Address
First Line : 12501 PROSPERITY DR STE 100
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-1647
Country : US
Telephone Number : 301-681-6730
Fax Number : 301-681-4268
Provider Business Practice Location Address
First Line : 12501 PROSPERITY DR STE 100
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-1647
Country : US
Telephone Number : 301-681-6730
Fax Number : 301-681-4268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 07/09/2019

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