Individual
BRUCE EVAN LOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 COMMERCE DR, SUITE 250, FORT WASHINGTON, PA 19034-2405
(215) 646-6868
(215) 646-4422
Mailing address
270 COMMERCE DR, SUITE 250, FORT WASHINGTON, PA 19034-2405
(215) 646-6868
(215) 646-4422
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD 021062E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000638673
—
PA
Enumeration date
08/02/2005
Last updated
06/21/2016
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