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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IVAN BUB, MD

Active

DR. IVAN BUB, MD is a Family Medicine healthcare provider located in WYOMISSING, Pennsylvania. NPI 1245224302 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WYOMISSING, PA

Registration Details

NPI Number
1245224302
Provider Type
Individual
Gender
Male
NPI Issued
Sep 6, 2005 (20.932954104888 yrs)
Last Updated
Apr 11, 2011
License
MD040616L (PA)

Practice Information

Address
2610 KEISER BLVD
WYOMISSING, PA, 196103333
Browse PA providers · Browse ZIP 19610
Phone
6107753316
Fax
6107962962
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in WYOMISSING, PA

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DR. EDWARD T BIGOS M.D. 1003812496
MR. JOHN JOSEPH TRAVERS JR. MD 1811997851
DR. SON VU MD 1831199975
GRACE NAING MD 1053304592
DR. EMANUEL WITTELS MD 1770577934
PAMELA RAVETZ MD 1376524520
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.