Provider Demographics
NPI:1528094463
Name:BRONSTEIN, JEFFREY B (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:B
Last Name:BRONSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 WHEATLAND ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-5361
Mailing Address - Country:US
Mailing Address - Phone:610-415-9301
Mailing Address - Fax:610-415-1656
Practice Address - Street 1:723 WHEATLAND ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-5361
Practice Address - Country:US
Practice Address - Phone:610-415-9301
Practice Address - Fax:610-415-1656
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023013E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry