Individual
DR. JEFFREY PAUL BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12501 PROSPERITY DR STE 100, SILVER SPRING, MD 20904-1647
(301) 681-6730
(301) 681-4268
Mailing address
12501 PROSPERITY DR STE 100, SILVER SPRING, MD 20904-1647
(301) 681-6730
(301) 681-4268
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D0036595
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208991200
—
MD
01
—
33195
PRIORITY PARTNERS MCO
MD
Enumeration date
06/09/2006
Last updated
07/09/2019
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