Provider Demographics
NPI:1336183383
Name:BERNSTEIN, ERIC FERENC (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:FERENC
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-0085
Mailing Address - Country:US
Mailing Address - Phone:610-645-5551
Mailing Address - Fax:610-645-5151
Practice Address - Street 1:32 PARKING PLZ
Practice Address - Street 2:SUITE 200
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-2415
Practice Address - Country:US
Practice Address - Phone:610-645-5551
Practice Address - Fax:610-645-5151
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD045790L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology