| Doctor Name: | AKIVA BRONSTEIN |
| NPI Number: | 1164458204 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 001642 |
| Business Practice Address: | 130 Division St Derby, CT - 064181326 |
| Business Phone Number: | 2037327325 |
| Business Fax Number: | |
| Mailing Address: | 67 Maple Ave, DERBY |
| State: | CT |
| Postal Code: | 064181328 |
| Phone Number: | 2037321330 |
| Fax Number: | 2037321332 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 05/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 001642 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |