Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD044682L | PA |
NPI | 1003897299 |
---|---|
Provider Name | Stuart S Barish |
First Address | Sellersville, PA 18960-0350 |
Second Address | Media, PA 19063-5146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 11/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01586348 | (05) | PA |
G08446 | (02) |