Basic Information
| Provider Information | |||||||||
| NPI: | 1861673303 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOPPER | ||||||||
| FirstName: | BRUCE | ||||||||
| MiddleName: | D. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1030 E LANCASTER AVE | ||||||||
| Address2: | |||||||||
| City: | BRYN MAWR | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190101451 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105253225 | ||||||||
| FaxNumber: | 6105254932 | ||||||||
| Practice Location | |||||||||
| Address1: | 1030 E LANCASTER AVE | ||||||||
| Address2: | |||||||||
| City: | BRYN MAWR | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190101451 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105253225 | ||||||||
| FaxNumber: | 6105254932 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/26/2007 | ||||||||
| LastUpdateDate: | 11/26/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | MD008757E | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
No ID Information.