Bryansmith, Dale
Bryansmith, Dale is an individual health care provider with primary practice located at 3998 Red Lion Rd Suite 130, Philadelphia PA 19114-1436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bryansmith, Dale can be contacted via phone (215) 612-5250.Contact Information
Primary practice address
3998 Red Lion Rd Suite 130
Philadelphia PA 19114-1436
Phone: (215) 612-5250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD020641E | Pennsylvania |
Profile Details
| NPI number | 1639284052 |
|---|---|
| LBN Legal business name | Bryansmith, Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1639284052 | NPPES |
| Pennsylvania | MEDICAID | 0008955450002 |
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