Individual
DR. IRA MARK BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, DEPARTMENT OF OBSTETRICS AND GYNCEOLOGY, BURLINGTON, VT 05401-1473
(802) 847-5066
(802) 847-2772
Mailing address
845 EAST ST, HUNTINGTON, VT 05462-9743
(802) 434-4213
(802) 847-2772
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
042-0007565
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009077
—
VT
Enumeration date
07/05/2006
Last updated
07/08/2007
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