Doctor Name: | DR. LAWRENCE H BERNSTEIN |
NPI Number: | 1093715906 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 155817 |
Business Practice Address: | 262 New Ludlow Rd Chicopee, MA - 010204324 |
Business Phone Number: | 4135523250 |
Business Fax Number: | 4135523255 |
Mailing Address: | 260 New Ludlow Rd, CHICOPEE |
State: | MA |
Postal Code: | 010204324 |
Phone Number: | 4135333470 |
Fax Number: | 4135336859 |
NPI Enumeration Date: | 07/21/2005 |
NPI Last Update Date: | 01/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 155817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |