MEDICARE: DR. BARRY H. RHOME DMD

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	1223E0200X	Endodontics	020584L	PA

General Provider Information

NPI Number	:	1073600904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY H. RHOME DMD

Provider Business Mailing Address
First Line	:	1528 WALNUT ST
Second Line	:	SUITE 2010
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-3604
Country	:	US
Telephone Number	:	215-735-7113
Fax Number	:	215-735-2060

Provider Business Practice Location Address
First Line	:	1528 WALNUT ST
Second Line	:	SUITE 2010
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-3604
Country	:	US
Telephone Number	:	215-735-7113
Fax Number	:	215-735-2060

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

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