MEDICARE: BERNSTEIN MEDICAL , LTD

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	207P00000X	Emergency Medicine Physician	D0067211	MD

General Provider Information

NPI Number	:	1598923203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERNSTEIN MEDICAL , LTD

Provider Business Mailing Address
First Line	:	6670 GLEN ACRES DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8601 LASALLE RD
Second Line	:	SUITE 104
City	:	TOWSON
State	:	MD
Zip	:	21286-2004
Country	:	US
Telephone Number	:	410-823-3422
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	DR. JAY R. BERNSTEIN
Credential	:
Telephone Number	:	513-600-5473

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	05/29/2008

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