FREDERIC J BERNSTEIN
Physician/surgeon


Address: 31 Old Mill Rd, Avon, CT 06001-4023

FREDERIC J BERNSTEIN (Credential# 998980) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

FREDERIC J BERNSTEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049964-DO. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 31 Old Mill Rd, Avon, CT 06001-4023. The current status is active.

Basic Information

Licensee Name FREDERIC J BERNSTEIN
Credential ID 998980
Credential Number 1.049964-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 31 Old Mill Rd
Avon
CT 06001-4023
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-06-14
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-06-02

Other licenses

ID Credential Code Credential Type Issue Term Status
996987 CSP.0050090 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-06-17 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 31 OLD MILL RD
City AVON
State CT
Zip Code 06001-4023

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Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
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Caroline O Amin 5 Colby Way, Avon, CT 06001 Physician/surgeon 2020-08-01 ~ 2021-07-31
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Competitor

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City AVON
Zip Code 06001
License Type Physician/Surgeon
License Type + County Physician/Surgeon + AVON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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