Individual
LUTFI RICHARD TRABULSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1088 W BALTIMORE PIKE, SUITE 2302, MEDIA, PA 19063
(610) 565-6445
(610) 565-6939
Mailing address
1088 W BALTIMORE PIKE, SUITE 2302, MEDIA, PA 19063
(610) 565-6445
(610) 565-6939
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD008315E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030891000
BLUESHIELD/KEYSTONE
PA
05
—
008395190002
—
PA
Enumeration date
07/28/2006
Last updated
03/10/2017
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