Provider Demographics
NPI:1689687048
Name:BARI, MERLE (MD)
Entity Type:Individual
Prefix:DR
First Name:MERLE
Middle Name:
Last Name:BARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 MERION SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-1510
Mailing Address - Country:US
Mailing Address - Phone:610-649-5001
Mailing Address - Fax:
Practice Address - Street 1:944 MERION SQUARE RD
Practice Address - Street 2:
Practice Address - City:GLADWYNE
Practice Address - State:PA
Practice Address - Zip Code:19035-1510
Practice Address - Country:US
Practice Address - Phone:610-649-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039388E207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA627946OtherBLUE CROSS
PA0457705000OtherKEYSTONE HEALTH PLAN EAST
PA0457705000OtherKEYSTONE HEALTH PLAN EAST
PA627946OtherBLUE CROSS
PA086440Medicare ID - Type Unspecified