Individual
BRUCE P. BERLANSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6500
Mailing address
PO BOX 64358, BALTIMORE, MD 21264-4358
(410) 955-6500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
220641
MA
2085R0202X
Diagnostic Radiology Physician
Primary
D22885
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044277
—
MA
05
—
317531600
—
MD
01
—
465554
TUFTS HEALTH CARE
MA
01
—
J27540
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
10/03/2005
Last updated
02/04/2013
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