Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | C20002764 | DE |
Y | 213ES0000X | Sports Medicine | C20002764 | DE |
NPI | 1235154741 |
---|---|
Provider Name | Dr. Barry L Bakst |
First Address | Wilmington, DE 19810-3644 |
Second Address | Wilmington, DE 19810-3644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000102003 | (05) | DE |
0000102003 | DE PHYSICIANS CARE (01) | DE |
0091456000 | AMERIHEALTH-HMO (01) | DE |
193245 | AMERIHEALTH-PPO (01) | DE |
2008059 | AETNA-HMO (01) | DE |
2445310 | CIGNA (01) | DE |
250008397 | RAILROAD MEDICARE (01) | DE |
293733 | MAMSI (01) | DE |
4295831 | AETNA-PPO (01) | DE |
44003 | COVENTRY (01) | CT |
510329923 | DEVON NETWORK (01) | DE |
510329923 | TRICARE (01) | DE |
510329923 | UNITED HEALTH CARE (01) | DE |
B66581 | (02) | DE |
P3278310 | OXFORD HEALTH PLAN (01) | DE |