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Individual
PAUL E BRUBAKER
Active
Individual
PAUL E BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD015333E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006876500001
—
PA
01
—
01652402
CAPITAL BLUE CROSS
PA
01
—
11635 S101
GEISINGER HEALTH PLAN
PA
01
—
152951
HIGHMARK BLUE SHIELD
PA
01
—
4658501
AETNA NON-HMO
PA
01
—
516338
AETNA HMO
PA
01
—
B40017
HEALTH ASSURANCE
PA
01
—
P002666
GATEWAY HEALTH PLAN
PA
Enumeration date
01/13/2006
Last updated
09/24/2007
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