Doctor Name: | THOMAS PETER BRIDGE |
NPI Number: | 1134489487 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD420802 |
Business Practice Address: | 340 Kingsland St 1 4c40 Nutley, NJ - 071101150 |
Business Phone Number: | 9735626580 |
Business Fax Number: | |
Mailing Address: | 4921-a Lower Mountain Rd, NEW HOPE |
State: | PA |
Postal Code: | 189389401 |
Phone Number: | 9735456899 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2012 |
NPI Last Update Date: | 05/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084B0040X |
License Number: | MD420802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Behavioral Neurology & Neuropsychiatry |
Taxonomy Definition: | Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |