MEDICARE: LINDA ESTHER BORNSTEIN MD

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
1	2085R0001X	Radiation Oncology Physician	77372	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1023098209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA ESTHER BORNSTEIN MD

Provider Business Mailing Address
First Line	:	3350 MAIN ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01107-1112
Country	:	US
Telephone Number	:	413-794-9175
Fax Number	:	413-794-5153

Provider Business Practice Location Address
First Line	:	3350 MAIN ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01107-1112
Country	:	US
Telephone Number	:	413-794-9175
Fax Number	:	413-794-5153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2006
Last Update Date	:	09/16/2008

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