Organization
FOX CHASE MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD D BRONSTEIN MD (PHYSICIAN)
(215) 742-0712
Entity
Organization
Contact information
Practice address
7500 CENTRAL AVENUE, SUITE 104, PHILADELPHIA, PA 19111-2431
(215) 742-0712
(215) 742-5218
Mailing address
7500 CENTRAL AVENUE, SUITE 104, PHILADELPHIA, PA 19111-2431
(215) 742-0712
(215) 742-5218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012402900005
—
PA
01
—
0201090000
BLUE SHIELD & KEYSTONE
PA
Enumeration date
01/24/2006
Last updated
08/05/2010
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