Individual
DR. BARRY BUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 E ROUMFORT RD, UNIT 16, PHILADELPHIA, PA 19119-1655
(914) 500-5698
Mailing address
115 E ROUMFORT RD, UNIT 16, PHILADELPHIA, PA 19119-1655
(914) 500-5698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
002172
PA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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