MEDICARE: STEVEN BERNSTEIN 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	2085R0202X	Diagnostic Radiology Physician	042184	CT

General Provider Information

NPI Number	:	1699756023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN BERNSTEIN MD

Provider Business Mailing Address
First Line	:	210 COMMERCE WAY
Second Line	:	SUITE 175
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-8200
Country	:	US
Telephone Number	:	603-431-9160
Fax Number	:

Provider Business Practice Location Address
First Line	:	148 EAST AVE
Second Line	:
City	:	NORWALK
State	:	CT
Zip	:	06851-5721
Country	:	US
Telephone Number	:	203-852-9913
Fax Number	:

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

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	02/16/2010

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