Organization
I BUB E WITTELS & D KARABELNIK PTRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN BUB MD (PARTNER)
(610) 775-3316
Entity
Organization
Contact information
Practice address
2610 KEISER BLVD, WYOMISSING, PA 19610-3333
(610) 775-3316
(610) 796-2962
Mailing address
2610 KEISER BLVD, WYOMISSING, PA 19610-3333
(610) 775-3316
(610) 796-2962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016241080008
—
PA
Enumeration date
09/13/2005
Last updated
04/08/2011
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