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Individual

DR. HOWARD DAVID BRONSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7500 CENTRAL AVE, PHILA, PA 19111-2431
(215) 742-0712
(215) 742-5218
Mailing address
7500 CENTRAL AVE, PHILA, PA 19111-2431
(215) 742-0712
(215) 742-5218

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD016792E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0018276
AETNA
PA
01
0053970000
KEYSTONE
01
052598
BLUE
PA
05
0727755
PA
01
1007278000
TPI GROUP MEDICAID
PA
01
1075524
KEYSTONE MERCY
01
597586
TPI GROUP MEDICARE
PA
01
CD4829
TPI RAILROAD MEDICARE GROUP
PA
Enumeration date
07/28/2006
Last updated
10/01/2012
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