Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD038493L | PA |
NPI | 1144371360 |
---|---|
Provider Name | Arthur J Barnaby JR. |
First Address | Horsham, PA 19044-6628 |
Second Address | Philadelphia, PA 19152-2029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 20/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009689000005 | (05) | PA |
0052057000 | INDEPENDECE BLUE SHIELD (01) | PA |
0123279 | BLUE SHIELD (01) | PA |
B37289 | (02) |