MEDICARE: LARRY IAN BARMAT MD

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	207VE0102X	Reproductive Endocrinology Physician	MD050901L	PA

General Provider Information

NPI Number	:	1326004979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY IAN BARMAT MD

Provider Business Mailing Address
First Line	:	1245 HIGHLAND AVENUE
Second Line	:	SUITE 404
City	:	ABINGTON
State	:	PA
Zip	:	19001-3725
Country	:	US
Telephone Number	:	215-887-2010
Fax Number	:	215-887-3291

Provider Business Practice Location Address
First Line	:	1245 HIGHLAND AVENUE
Second Line	:	SUITE 404
City	:	ABINGTON
State	:	PA
Zip	:	19001-3725
Country	:	US
Telephone Number	:	215-887-2010
Fax Number	:	215-887-3291

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

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	07/08/2007

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