Individual
BERNARD J IMRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 S PINE ST, CARMICHAELS, PA 15320-1264
(724) 966-5019
(724) 966-8952
Mailing address
110 S PINE ST, CARMICHAELS, PA 15320-1264
(724) 966-5019
(724) 966-8952
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
MD026109E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110138
BLACK LUNG
PA
01
—
P035823
CHAMPUS
PA
Enumeration date
07/20/2006
Last updated
02/25/2008
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