Provider Demographics
NPI:1255315487
Name:BARSH, HORACE (DO)
Entity Type:Individual
Prefix:
First Name:HORACE
Middle Name:
Last Name:BARSH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 820933
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:215-926-3535
Mailing Address - Fax:215-926-3536
Practice Address - Street 1:2301 E ALLEGHENY AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4427
Practice Address - Country:US
Practice Address - Phone:215-926-3535
Practice Address - Fax:215-926-3536
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS-001836-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA041410OtherHIGHMARK BLUE SHIELD
PA4516373OtherCIGNA
PA597586OtherMEDICARE GROUP TPI
PA0061361001OtherAMERICHOICE
PA1027144OtherKEYSTONE MERCY HEALTH PLA
PA695OtherBRAVO HEALTH
PACD4829OtherRAILROAD MEDICARE TPI GROUP
PA0058359000OtherINDEPENDENCE BLUE CROSS
PA2Y0374OtherHEALTH NET
PA4531505OtherAETNA PPO
PA000613610Medicaid
PA0536140OtherAETNA HMO
PA459107OtherCOVENTRY HEALTH AMERICA
PAPHP513OtherOXFORD
PA080114275OtherRAIL ROAD MEDICARE
PA695OtherBRAVO HEALTH
PA041410OtherHIGHMARK BLUE SHIELD