MEDICARE: DR. BRUCE BART GARBER M.D.

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	208800000X	Urology Physician	MD025287E	PA

General Provider Information

NPI Number	:	1396745394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE BART GARBER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 686
Second Line	:
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-0686
Country	:	US
Telephone Number	:	610-613-9251
Fax Number	:	215-247-3085

Provider Business Practice Location Address
First Line	:	525 JAMESTOWN ST
Second Line	:	SUITE 108
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-1751
Country	:	US
Telephone Number	:	215-247-3082
Fax Number	:	215-247-3085

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

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	03/21/2015

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