Individual
JOHN J BIANROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE STREET, 6 DULLES, PHILADELPHIA, PA 19104-4206
(215) 349-8310
Mailing address
3400 SPRUCE STREET, 6 DULLES, PHILADELPHIA, PA 19104-4206
(215) 349-8310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD017875E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006293150004
—
PA
01
—
0281409
NJ MEDICAID
NJ
01
—
BI027584
PA BLUE SHIELD
PA
Enumeration date
06/29/2005
Last updated
12/09/2013
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