Healthcare Provider Details
I. General information
NPI: 1477664274
Provider Name (Legal Business Name): WILLIAM BIERMANN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 12/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
609 WEST GERMANTOWN PIKE SUITE 280
EAST NORRITON PA
19403-4250
US
IV. Provider business mailing address
PO BOX 8500-8735
PHILADELPHIA PA
19178-8735
US
V. Phone/Fax
- Phone: 215-456-3880
- Fax: 215-456-3437
- Phone: 215-456-7000
- Fax: 215-254-2599
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | MD017876E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: