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Individual

ROMAN BISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
575 N RIVER STREET, WILKES-BARRE, PA 18702
(570) 552-1003
Mailing address
519 HAWS AVE, NORRISTOWN, PA 19401-4542
(610) 551-9506

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD441650
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0265489
NJ
05
102606690
PA
05
1881869675
PA
Enumeration date
04/23/2008
Last updated
07/15/2024
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