Individual
BOBBI M BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
421 CHEW SREET, ALLENTOWN, PA 18102-3406
(610) 776-4622
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA09843300
NJ
207P00000X
Emergency Medicine Physician
4301072579
MI
207P00000X
Emergency Medicine Physician
Primary
MD434529
PA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301072579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022056630003
—
PA
05
—
104418838
—
MI
05
—
3036593
—
OH
05
—
3810017311
—
WV
01
—
BB072579
BC/BS OF MICHIGAN
MI
Enumeration date
08/01/2006
Last updated
09/14/2017
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