Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3689 | MA |
NPI | 1447917869 |
---|---|
Provider Name | Dr. Ryan Michael Bernstein |
First Address | Framingham, MA 01702-5356 |
Second Address | Framingham, MA 01702-0170 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2021 |
Last Update Date | 19/11/2021 |