Individual
DR. BRIAN W BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
933 E HAVERFORD RD, BRYN MAWR, PA 19010-3819
(610) 649-6400
(610) 649-7971
Mailing address
933 E HAVERFORD RD, BRYN MAWR, PA 19010-3819
(610) 649-6400
(610) 649-7971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD040154L
PA
Other
Enumeration date
09/14/2006
Last updated
09/17/2014
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