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Organization
MARK A. BRONSTEIN, M.D., INC
Active
Organization
MARK A. BRONSTEIN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A BRONSTEIN M.D. (PRESIDENT)
(714) 751-1188
Entity
Organization
Contact information
Practice address
11180 WARNER AVE STE 163, FOUNTAIN VALLEY, CA 92708-7515
(714) 751-1188
(714) 751-2403
Mailing address
11180 WARNER AVE STE 163, FOUNTAIN VALLEY, CA 92708-7515
(714) 751-1188
(714) 751-2403
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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