DR. Ivan Bub, MD

NPI #1245224302 in Wyomissing, Pennsylvania

Provider Information

NPI Number: 1245224302
Entity Type: Individual
Name: DR. Ivan Bub, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 6, 2005
Last Updated: Apr 11, 2011

Practice Location

Address: 2610 KEISER BLVD
City: Wyomissing
State: Pennsylvania
ZIP Code: 19610-3333
Phone: (610) 775-3316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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