Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC009666 | PA |
NPI | 1285858324 |
---|---|
Provider Name | Dr. Fawzi Nuri Bariun |
First Address | Lansdowne, PA 19050-1241 |
Second Address | Lansdowne, PA 19050-1241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |