Provider Demographics
NPI:1487756201
Name:BERNSTEIN, MARK HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:HENRY
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:593 BETHLEHEM PIKE
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936
Mailing Address - Country:US
Mailing Address - Phone:215-822-2224
Mailing Address - Fax:215-822-6999
Practice Address - Street 1:593 BETHLEHEM PIKE
Practice Address - Street 2:SUITE 4B
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936
Practice Address - Country:US
Practice Address - Phone:215-822-2224
Practice Address - Fax:215-822-6999
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD014999E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
C31619Medicare UPIN