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Individual

BRUCE KEITH BROWNSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 PENN BLVD, SUITE 102, PHILADELPHIA, PA 19144-1476
(215) 438-2020
(215) 951-8985
Mailing address
1 PENN BLVD, SUITE 102, PHILADELPHIA, PA 19144-1476
(215) 438-2020
(215) 951-8985

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD020980E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0053126000
IBX HMO IDENTIFIER
PA
Enumeration date
06/03/2006
Last updated
11/07/2007
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