Individual
DR. DANIEL BUBENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 CHURCH HILL RD, SUITE 2A, MC KEES ROCKS, PA 15136-3279
(412) 722-1003
(412) 722-1024
Mailing address
133 CHURCH HILL RD, SUITE 2A, MC KEES ROCKS, PA 15136-3279
(412) 722-1003
(412) 722-1024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD036194E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001123604
—
PA
Enumeration date
02/08/2006
Last updated
10/09/2020
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