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Individual

MARC J BERNSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
621 S NEW BALLAS RD STE 598A, SAINT LOUIS, MO 63141-8262
(314) 251-3380
(314) 251-3385
Mailing address
1 CLERBROOK LN, SAINT LOUIS, MO 63124-1202

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MO101070
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113769
BC/BS MISSOURI
MO
05
1336110543
MO
05
209744317
MO
01
P01067267
RAILROAD MEDICARE
MO
Enumeration date
01/27/2006
Last updated
04/02/2019
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