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NPI Code Detail

MEDICARE: JONATHAN BERNSTEIN MD LTD

MEDICARE: JONATHAN BERNSTEIN MD 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
1363LP0200XPediatric Nurse Practitioner
22080P0207XPediatric Hematology & Oncology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1831282151
Entity Type Code : Organization
Provider Name (Legal Business Name) : JONATHAN BERNSTEIN MD LTD
Provider Business Mailing Address
First Line : 3121 S MARYLAND PKWY
Second Line : STE 300
City : LAS VEGAS
State : NV
Zip : 89109-2307
Country : US
Telephone Number : 702-732-1493
Fax Number : 702-732-1080
Provider Business Practice Location Address
First Line : 3121 S MARYLAND PKWY
Second Line : STE 300
City : LAS VEGAS
State : NV
Zip : 89109-2307
Country : US
Telephone Number : 702-732-1493
Fax Number : 702-732-1080
Authorized Official
Title or Position : PRESIDENT
Name : JONATHAN BERNSTEIN
Credential : MD
Telephone Number : 702-734-1493
Provider Enumeration Date : 09/30/2006
Last Update Date : 06/03/2013

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Directions to “JONATHAN BERNSTEIN MD LTD ” Practice Location

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