# I BUB E WITTELS & D KARABELNIK PTRS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952396343
- **Authorized official:** DR. IVAN BUB MD (PARTNER)
- **Authorized official phone:** (610) 775-3316

## Contact information

- **Practice address:** 2610 KEISER BLVD, WYOMISSING, PA 19610-3333
- **Practice address phone:** (610) 775-3316
- **Practice address fax:** (610) 796-2962
- **Mailing address:** 2610 KEISER BLVD, WYOMISSING, PA 19610-3333
- **Mailing address phone:** (610) 775-3316
- **Mailing address fax:** (610) 796-2962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 04/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0016241080008 | — | PA |