Doctor Name: | BRUCE JUNIOUS MABINE |
NPI Number: | 1912983552 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD023436E |
Business Practice Address: | 100 E Lehigh Ave Chc-2 Phila, PA - 191251012 |
Business Phone Number: | 2157071840 |
Business Fax Number: | 2157078570 |
Mailing Address: | Po Box 820933, PHILA |
State: | PA |
Postal Code: | 191820933 |
Phone Number: | 2157071840 |
Fax Number: | 2157078570 |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 12/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD023436E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |