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NPI Code Detail

MEDICARE: MR. BRUCE ALAN APPLE MS,PT,ATC

MEDICARE: MR. BRUCE ALAN APPLE MS,PT,ATC
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
1225100000XPhysical TherapistQAO03263NJ
2225100000XPhysical Therapist002052EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1555082OTHERNJBC/BS PPO
25650040OTHERPAAETNA PPO
31648279OTHERPABC/BS PPO
42915916OTHERNJAETNA PPO
50743058000OTHERAMERIHEALTH
612272713OTHERMULTIPLAN
70743058000OTHERBC/BS HMO

General Provider Information

NPI Number : 1134128713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRUCE ALAN APPLE MS,PT,ATC
Provider Business Mailing Address
First Line : 1888 ROUTE 70 E
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-2178
Country : US
Telephone Number : 856-424-7524
Fax Number : 856-424-7599
Provider Business Practice Location Address
First Line : 420 BAINBRIDGE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-1568
Country : US
Telephone Number : 215-629-1270
Fax Number : 215-629-5531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 07/08/2007

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