Individual
DR. FRED BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1950 STREET RD, SUITE 101, BENSALEM, PA 19020-3755
(215) 245-0873
(215) 245-4011
Mailing address
1950 STREET RD, SUITE 101, BENSALEM, PA 19020-3755
(215) 245-0873
(215) 245-4011
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001969L
PA
213ES0131X
Foot Surgery Podiatrist
SC001969L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0844935
—
PA
Enumeration date
09/30/2005
Last updated
02/21/2012
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