Brunker, Tamara M

Brunker, Tamara M is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104-4206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brunker, Tamara M can be contacted via phone (215) 662-7355.

Contact Information

Primary practice address
3400 Spruce St Philadelphia PA 19104-4206
Phone: (215) 662-7355
Fax: (215) 349-8444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MP000369 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA001291L Pennsylvania

Profile Details

NPI number 1487675070
LBN Legal business name Brunker, Tamara M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Aug 15th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487675070 NPPES
Other 43877 UNIVERSITY HEALTH PLAN
Other 3K5950 UNIVERSITY HEALTH PLAN

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