Ivan Bub is a Family Medicine in Wyomissing, Pennsylvania. Ivan Bub practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ivan Bub is 1245224302. The last update date is 2011-04-11.
Ivan Bub's current location address is 2610 Keiser Blvd, Wyomissing, Pennsylvania. You can contact this provider via phone number 6107753316 and fax number 6107962962. The mailing address for Ivan Bub is 2610 Keiser Blvd, Wyomissing, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan Bub |
|---|---|
| Address | 2610 Keiser Blvd, Wyomissing, Pennsylvania |
| Phone Number | 6107753316 |
| Fax Number | 6107962962 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245224302 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2011-04-11 |
Provider Mailing Address Detail
| Address | 2610 Keiser Blvd |
|---|---|
| City | Wyomissing |
| State | Pennsylvania (PA) |
| Post Code | 196103333 |
| Phone Number | 6107753316 |
| Fax Number | 6107962962 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD040616L |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12539300007 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ivan Bub by the Centers for Medicare & Medicaid Services?
The Ivan Bub has been assigned the NPI (National Provider Identifier) 1245224302 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ivan Bub is geographically located?
The Ivan Bub is physically situated at the following location: 2610 Keiser Blvd, Wyomissing, PA, 196103333.
What is Ivan Bub's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ivan Bub's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245224302 to Ivan Bub?
The Ivan Bub received its 1245224302 assignment from the Centers for Medicare & Medicaid Services on 2005-09-06.
As of what date was the information pertaining to Ivan Bub, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ivan Bub, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-04-11.