Provider Demographics
NPI:1104000512
Name:LASER SURGERY AND COSMETIC DERMATOLOGY CENTERS INC
Entity Type:Organization
Organization Name:LASER SURGERY AND COSMETIC DERMATOLOGY CENTERS INC
Other - Org Name:ERIC F. BERNSTEIN, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:FERENC
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-581-7400
Mailing Address - Street 1:931 E HAVERFORD RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3838
Mailing Address - Country:US
Mailing Address - Phone:610-581-7400
Mailing Address - Fax:610-581-0568
Practice Address - Street 1:931 E HAVERFORD RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3838
Practice Address - Country:US
Practice Address - Phone:610-581-7400
Practice Address - Fax:610-581-0568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045790L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty