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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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