Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 35-02-4253 | OH |
NPI | 1285631267 |
---|---|
Provider Name | Herbert A Bronstein |
First Address | Columbus, OH 43218-3027 |
Second Address | Columbus, OH 43231-2859 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 21/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0203179 | (05) | OH |
A70505 | (02) | |
BR0122085 | (02) | OH |