Bruce Cushman Gebhardt M.D.

NPI 1093791600 - Family Medicine - 207Q00000X

NPI Details
NPI 1093791600
Gender Male
Enumeration Date 12/16/2005
Last Updated 07/15/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2314 SASSAFRAS ST
SUITE 200
ERIE PA, 16502-2722, US
Phone (814) 454-4484
Fax (814) 452-1809
Business Location
3530 PEACH ST
SUITE LL1
ERIE PA, 16508-2768, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number MD044328E
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According to our database, Bruce Cushman Gebhardt M.D. NPI is 1093791600, taxonomy code is 207Q00000X and license number is MD044328E, license state is located at Pennsylvania. Bruce Cushman Gebhardt M.D. physically located at 2314 Sassafras St, Erie PA, 16502-2722. NPI Number Bruce Cushman Gebhardt M.D. has the Individual type.

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1093791600 NPI number is provided on an as is basis without warranty of any kind. 1093791600 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce Cushman Gebhardt M.D. are for informational purposes only.