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Individual

JONATHAN M BERNSTEIN

Active
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Individual

JONATHAN M BERNSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301061141
MI
207W00000X
Ophthalmology Physician
64990
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
4301061141
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
64990
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000126978
ANTHEM BCBS
OH
01
—
180018195
RAILROAD MEDICARE
—
Enumeration date
06/16/2005
Last updated
07/21/2022
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