Individual
DR. BARRY A. BLINKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2230 COTTMAN AVE, HEALTH CARE CENTER #10, PHILADELPHIA, PA 19149-1230
(215) 685-0639
(215) 725-4877
Mailing address
500 S BROAD ST, SUITE 360, PHILADELPHIA, PA 19146-1613
(215) 685-6769
(215) 685-6732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD007787E
PA
207RG0100X
Gastroenterology Physician
MD007787E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017156410001
—
PA
Enumeration date
08/12/2006
Last updated
07/23/2014
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