Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD018471E | PA |
NPI | 1003068248 |
---|---|
Provider Name | Dr. Bernard Alan Brownstein |
First Address | Villanova, PA 19085-1733 |
Second Address | Villanova, PA 19085-1733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 30/08/2013 |