Individual
LOUIS R BAINBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1854 VETERANS HWY, LEVITTOWN, PA 19056-2107
(215) 752-1600
(215) 750-7328
Mailing address
60 HARKER RD, CHESTERFIELD, NJ 08515
(609) 324-0903
(609) 298-4867
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00172100
NJ
363AM0700X
Medical Physician Assistant
Primary
MA001037L
PA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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