MEDICARE: DR. ROBERT BIERMAN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW009703-L	PA

General Provider Information

NPI Number	:	1023113867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT BIERMAN LCSW

Provider Business Mailing Address
First Line	:	100 S BROAD ST
Second Line	:	SUITE 1945
City	:	PHILADELPHIA
State	:	PA
Zip	:	19110-1023
Country	:	US
Telephone Number	:	215-496-1080
Fax Number	:	215-496-1080

Provider Business Practice Location Address
First Line	:	100 S BROAD ST
Second Line	:	SUITE 1945
City	:	PHILADELPHIA
State	:	PA
Zip	:	19110-1023
Country	:	US
Telephone Number	:	215-496-1080
Fax Number	:	215-496-1080

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/08/2007

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