Individual
DR. LINDA M. BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
915 MONTGOMERY AVE, 4TH FLOOR, PENN VALLEY, PA 19072-1548
(610) 668-7992
(610) 668-7991
Mailing address
915 MONTGOMERY AVE, 4TH FLOOR, PENN VALLEY, PA 19072-1548
(610) 668-7992
(610) 668-7991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS008246L
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
OS008246L
PA
Other
Enumeration date
02/01/2006
Last updated
09/19/2016
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