Sloane, Bruce Bordman

Sloane, Bruce Bordman is an individual health care provider with primary practice located at 1015 Chestnut St Ste 405 , Philadelphia PA 19107-4304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sloane, Bruce Bordman can be contacted via phone (215) 563-1199.

Contact Information

Primary practice address
1015 Chestnut St Ste 405 Philadelphia PA 19107-4304
Phone: (215) 563-1199
Fax: (215) 563-1783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD044303L Pennsylvania

Profile Details

NPI number 1518954536
LBN Legal business name Sloane, Bruce Bordman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Sep 8th, 2020 - about 6 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 1518954536 NPPES
Pennsylvania MEDICAID 001248449

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