Provider Demographics
NPI:1467560177
Name:BERNSTEIN & ROBINSON DERMATOLOGY P.A.
Entity Type:Organization
Organization Name:BERNSTEIN & ROBINSON DERMATOLOGY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-879-7404
Mailing Address - Street 1:1115 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-5460
Mailing Address - Country:US
Mailing Address - Phone:410-879-7404
Mailing Address - Fax:410-879-0283
Practice Address - Street 1:1115 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-5460
Practice Address - Country:US
Practice Address - Phone:410-879-7404
Practice Address - Fax:410-879-0283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026939207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CF6255OtherMEDICARE RAILROAD
J223OtherFEDERAL BLUE SHIELD
S781Medicare ID - Type Unspecified