Provider Demographics
NPI:1063471712
Name:BOBMAN, DAVID E (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:BOBMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:915 OLD FERN HILL ROAD
Mailing Address - Street 2:BUILDING B SUITE 300
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380
Mailing Address - Country:US
Mailing Address - Phone:610-431-3122
Mailing Address - Fax:610-431-4799
Practice Address - Street 1:915 OLD FERN HILL ROAD
Practice Address - Street 2:BUILDING B SUITE 300
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380
Practice Address - Country:US
Practice Address - Phone:610-431-3122
Practice Address - Fax:610-431-4799
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2010-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD043873L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD012554160003Medicaid
PAD012554160003Medicaid
672961Medicare ID - Type Unspecified