Provider Demographics
NPI:1659308054
Name:BERNSTEIN, STEVEN LANCE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LANCE
Last Name:BERNSTEIN
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:419 W REDWOOD ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1734
Mailing Address - Country:US
Mailing Address - Phone:410-328-5929
Mailing Address - Fax:410-328-6346
Practice Address - Street 1:419 W REDWOOD ST
Practice Address - Street 2:SUITE 420
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1734
Practice Address - Country:US
Practice Address - Phone:443-989-9979
Practice Address - Fax:410-590-0765
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2008-02-13
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Provider Licenses
StateLicense IDTaxonomies
MDD42740207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE14386Medicare UPIN