Individual
DR. MICHAEL THOMAS BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
1903 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 334-2000
Mailing address
1903 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 334-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039542
PA
208D00000X
General Practice Physician
MD437840
PA
Other
Enumeration date
06/20/2008
Last updated
03/16/2015
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