Individual
DEMETRIUS E BRAVIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
296 W RIDGE PIKE, LIMERICK, PA 19468-1790
(484) 961-8833
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD070926L
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD070926L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1956986
—
PA
Enumeration date
01/31/2006
Last updated
04/09/2025
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