Individual
ERNEST MICHAEL BARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 PLYMOUTH RD, SUITE 117, PLYMOUTH MEETING, PA 19462-1638
(610) 834-6000
(610) 834-4019
Mailing address
PO BOX 177, LAFAYETTE HILL, PA 19444-0177
(610) 834-6000
(610) 834-4019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD010699E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018493
BLUE SHIELD
PA
05
—
0887730
—
PA
Enumeration date
09/27/2006
Last updated
07/19/2010
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