Individual
DAVID S BARDENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-3601
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6614
(216) 383-6614
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35060199
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221345
UNISON
OH
01
—
000000512662
ANTHEM
OH
05
—
0812124
—
OH
01
—
363338
WELLCARE
OH
01
—
4312084
AETNA
OH
01
—
738030
BUCKEYE
OH
01
—
P00398001
RAILROAD MEDICARE
OH
01
—
P00398007
RAILROAD MEDICARE
OH
Enumeration date
10/26/2005
Last updated
07/25/2011
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