MEDICARE: ALLEN H BAR 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	174400000X	Specialist	MD010352E	PA
2	208600000X	Surgery Physician	MD010352E	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	:	1972501856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN H BAR MD

Provider Business Mailing Address
First Line	:	301 S 8TH ST
Second Line	:	SUITE 4A
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-4000
Country	:	US
Telephone Number	:	215-829-8455
Fax Number	:	215-829-8454

Provider Business Practice Location Address
First Line	:	301 S 8TH ST
Second Line	:	SUITE 4A
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-4000
Country	:	US
Telephone Number	:	215-829-8455
Fax Number	:	215-829-8454

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	02/10/2014

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Directions to “ ALLEN H BAR MD” Practice Location

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