Organization
FOSTERBROOK MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BRUCE KIRSCH (PRESIDENT)
(814) 368-5402
Entity
Organization
Contact information
Practice address
1223 E MAIN ST, BRADFORD, PA 16701-3223
(814) 368-5402
(814) 368-8155
Mailing address
1223 E MAIN ST, BRADFORD, PA 16701-3223
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD038201E
PA
Other
Enumeration date
09/07/2005
Last updated
08/22/2020
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