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Individual
SIMEON L BARDIN
Active
Individual
SIMEON L BARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
052567L
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD052567L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014616570001
—
PA
01
—
1007278000
TPI GROUP MA ID
PA
01
—
110148353
RAILROAD MEDICARE
PA
01
—
597586
TPI GROUP MEDICARE
PA
01
—
CD4829
TPI GROUP RAILROAD MEDICARE
PA
Enumeration date
09/13/2005
Last updated
02/22/2013
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