Tri-state Visiting Home Physicians

NPI 1245671015 - Family Medicine - 207QG0300X

NPI Details
NPI 1245671015
Enumeration Date 07/09/2013
Last Updated 12/15/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BERNARD OKEM BERNARD
Position PHYSICIAN/ MEDICAL DIRECTOR
Phone (215) 458-7114
Fax (215) 458-7994
Practice Location
1200 VETERANS HWY
STE 836
BRISTOL PA, 19007-2525, US
Phone (215) 458-7114
Fax (215) 458-7994
Business Location
54 ANTHONY DR
BURLINGTON NJ, 08016-5155, US
Phone (609) 479-3043
Fax
Toxanomy
Taxonomy Code 207QG0300X
License State Pennsylvania
License Number MD436175
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According to our database, Tri-state Visiting Home Physicians NPI is 1245671015, taxonomy code is 207QG0300X and license number is MD436175, license state is located at Pennsylvania. Tri-state Visiting Home Physicians physically located at 1200 Veterans Hwy, Bristol PA, 19007-2525. NPI Number 1033115704 has the healthcare provider type.

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1245671015 NPI number is provided on an as is basis without warranty of any kind. 1245671015 is maintained by the National Plan & Provider Enumeration System. The contents of Tri-state Visiting Home Physicians are for informational purposes only.