| Bruce S Bashline D.o. Inc. | |
|
1100 Spring Garden Drive Middletown PA 17057 | |
| (717) 985-9091 | |
| (717) 985-9094 |
| Full Name | Bruce S Bashline D.o. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 Spring Garden Drive, Middletown, Pennsylvania |
| Authorized Official Name and Position | Bruce S Bashline (DOCTOR) |
| Authorized Official Contact | 7179859091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce S Bashline D.o. Inc. 1100 Spring Garden Drive Middletown PA 17057 Ph: (717) 985-9091 | Bruce S Bashline D.o. Inc. 1100 Spring Garden Drive Middletown PA 17057 Ph: (717) 985-9091 |
| NPI Number | 1780711333 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567524143 |
|---|---|
| Medicare Enrollment ID | O20081216000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780711333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0S004607L (Pennsylvania) | Primary |
| Provider Name | Bruce S Bashline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912015132 PECOS PAC ID: 9234299959 Enrollment ID: I20081125000230 |
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