Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125072134 | IL |
N | 111NI0900X | Internist | 125072134 | IL |
N | 207RA0201X | Internist - Allergy & Immunology | TL.0008509 | CO |
NPI | 1174014955 |
---|---|
Provider Name | Joshua Seth Bernstein |
First Address | Denver, CO 80206-2762 |
Second Address | Denver, CO 80206-2762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2018 |
Last Update Date | 30/06/2021 |