Healthcare Provider Details

I. General information

NPI: 1578883393
Provider Name (Legal Business Name): DEBORAH R BERNSTEIN MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 W SWAMP RD STE 40
DOYLESTOWN PA
18901-2465
US

IV. Provider business mailing address

252 W SWAMP RD STE 40
DOYLESTOWN PA
18901-2465
US

V. Phone/Fax

Practice location:
  • Phone: 215-794-7880
  • Fax: 215-794-7884
Mailing address:
  • Phone: 215-990-4709
  • Fax: 215-794-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD046460L
License Number StatePA

VIII. Authorized Official

Name: DR. DEBORAH R BERNSTEIN
Title or Position: MANAGER
Credential: MD
Phone: 215-794-7880