MEDICARE: DAVID M BARCLAY 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	207Q00000X	Family Medicine Physician	MD061309L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396733325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M BARCLAY MD

Provider Business Mailing Address
First Line	:	166 W LEHIGH AVE
Second Line	:	#4
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-3849
Country	:	US
Telephone Number	:	215-634-5272
Fax Number	:	215-634-5271

Provider Business Practice Location Address
First Line	:	166 W LEHIGH AVE
Second Line	:	#4
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-3849
Country	:	US
Telephone Number	:	215-634-5272
Fax Number	:	215-634-5271

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

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	08/17/2011

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Directions to “ DAVID M BARCLAY MD” Practice Location

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