Individual
MAUREEN M BIDULA
Active
Individual
MAUREEN M BIDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD024341E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010295130020
—
PA
01
—
0013685000
INDEPENDENCE BLUE CROSS
PA
01
—
BI467455
HIGHMARK
PA
Enumeration date
10/03/2005
Last updated
10/14/2016
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