| Doctor Name: | DR. FRED BIRNBAUM |
| NPI Number: | 1053308478 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | SC001969L |
| Business Practice Address: | 1950 Street Rd Suite 101 Bensalem, PA - 190203755 |
| Business Phone Number: | 2152450873 |
| Business Fax Number: | 2152454011 |
| Mailing Address: | 1950 Street Rd, Suite 101 BENSALEM |
| State: | PA |
| Postal Code: | 190203755 |
| Phone Number: | 2152450873 |
| Fax Number: | 2152454011 |
| NPI Enumeration Date: | 09/30/2005 |
| NPI Last Update Date: | 02/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | SC001969L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |