Bardin, Simeon L
Bardin, Simeon L is an individual health care provider with primary practice located at 8200 Flourtown Ave Ste 6, Wyndmoor PA 19038-7976. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bardin, Simeon L can be contacted via phone (215) 233-1555.Contact Information
Primary practice address
8200 Flourtown Ave Ste 6
Wyndmoor PA 19038-7976
Phone: (215) 233-1555
Fax: (215) 233-0308
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 052567L | Pennsylvania |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD052567L | Pennsylvania |
Profile Details
NPI number | 1508851874 |
---|---|
LBN Legal business name | Bardin, Simeon L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2005 |
Last updated | Feb 22nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508851874 | NPPES |
Pennsylvania | Other | 1007278000 | TPI GROUP MA ID |
Pennsylvania | Other | 110148353 | TPI GROUP MA ID |
Pennsylvania | Other | 597586 | TPI GROUP MA ID |
Pennsylvania | Other | CD4829 | TPI GROUP MA ID |
Pennsylvania | MEDICAID | 0014616570001 | TPI GROUP MA ID |
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