Individual
DR. SHELLY C BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
486 BOSTON POST ROAD, WESTON, MA 02493-1529
(781) 899-4456
(781) 647-9578
Mailing address
486 BOSTON POST ROAD, WESTON, MA 02493-1529
(781) 899-4456
(781) 647-9578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48174
MA
208000000X
Pediatrics Physician
MA48174
MA
2080P0207X
Pediatric Hematology & Oncology Physician
48174
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048174
TUFTS HEALTH PLAN
MA
01
—
200316
HARVARD PILGRIM HEALTH PL
MA
05
—
3012671
—
MA
01
—
BEJ07219
BCBS MASS
MA
Enumeration date
06/15/2006
Last updated
09/08/2015
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