Mabine, Bruce Junious

Mabine, Bruce Junious is an individual health care provider with primary practice located at 3401 N Broad St 7Th Floor Out Patient Building, Philadelphia PA 19140-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mabine, Bruce Junious can be contacted via phone (215) 707-3008.

Contact Information

Primary practice address
3401 N Broad St 7Th Floor Out Patient Building Philadelphia PA 19140-5103
Phone: (215) 707-3008
Fax: (215) 707-1387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD023436E Pennsylvania

Profile Details

NPI number 1912983552
LBN Legal business name Mabine, Bruce Junious
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Mar 21st, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912983552 NPPES
Pennsylvania MEDICAID 000975172
Pennsylvania Other 0052784000
Pennsylvania Other 0097517210
Pennsylvania Other 1036665
Pennsylvania Other 4590
Pennsylvania Other 4216207
Pennsylvania Other 519073
Pennsylvania Other 059989
Pennsylvania Other 3211325

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