Individual
DR. BARI MICHELE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1175 LANCASTER AVE, BERWYN, PA 19312-1297
(610) 384-9100
(610) 384-3937
Mailing address
56 W EAGLE RD, HAVERTOWN, PA 19083-1447
(610) 449-4336
(610) 446-1735
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD052464L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180033719
RAILROAD MEDICARE
PA
Enumeration date
08/10/2005
Last updated
01/29/2021
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