Doctor Name: | DANIEL JOSEPH BERNSTEIN |
NPI Number: | 1275636623 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 34951 |
Business Practice Address: | 1908 Caudle Dr Ste. 100 Mount Airy, NC - 270304321 |
Business Phone Number: | 3367190761 |
Business Fax Number: | |
Mailing Address: | Po Box 681789, FRANKLIN |
State: | TN |
Postal Code: | 370681789 |
Phone Number: | 6155039000 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34951 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |