Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS017579L | PA |
Y | 213EG0000X | General Practice | DS017579L | PA |
NPI | 1003913039 |
---|---|
Provider Name | Dr. Richard C Barton |
First Address | Media, PA 19063-1404 |
Second Address | Media, PA 19063-1404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |