Doctor Name: | BERNARD J IMRICH |
NPI Number: | 1124048533 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD026109E |
Business Practice Address: | 110 S Pine St Carmichaels, PA - 153201264 |
Business Phone Number: | 7249665019 |
Business Fax Number: | 7249668952 |
Mailing Address: | 110 S Pine St, CARMICHAELS |
State: | PA |
Postal Code: | 153201264 |
Phone Number: | 7249665019 |
Fax Number: | 7249668952 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 02/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0000X |
License Number: | MD026109E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |