MEDICARE: DAVID W BARNES

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1538409503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID W BARNES

Provider Business Mailing Address
First Line	:	1306 COTTMAN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3606
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 COTTMAN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3606
Country	:	US
Telephone Number	:	215-745-1212
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. DAVID W BARNES
Credential	:	DPM
Telephone Number	:	215-742-1212

Provider Enumeration Date	:	02/27/2013
Last Update Date	:	02/27/2013

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Directions to “DAVID W BARNES ” Practice Location

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