Individual
ERIC BRONSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 ALICE PECK DAY DR, LEBANON, NH 03766-2901
(603) 448-3122
(603) 448-7491
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3122
(603) 448-7462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7831
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08P072
MVP
—
05
—
1002887
—
VT
05
—
30002406
—
NH
01
—
E10790
HARVARD PILGRIM
NH
Enumeration date
09/26/2005
Last updated
05/03/2017
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