Individual
BRIAN NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3401 N. BROAD STREET, 6TH FLOOR, ZONE B, ORTHOPEDICS, PHILADELPHIA, PA 19140-5103
(215) 707-2111
Mailing address
3401 N BROAD ST FL 6, PHILADELPHIA, PA 19140-5103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061217
PA
Other
Enumeration date
11/26/2019
Last updated
01/05/2020
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