Individual
BART J BRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1059 E STATE, SALEM, OH 44460
(330) 332-9991
(330) 332-2188
Mailing address
1059 E STATE, SALEM, OH 44460
(330) 332-9991
(330) 332-2188
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35068377
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165548
—
OH
Enumeration date
01/25/2006
Last updated
12/16/2010
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