Provider Demographics
NPI:1952944175
Name:BARMHERZIG, REBECCA MIRIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MIRIAM
Last Name:BARMHERZIG
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 1:3501 CIVIC CENTRE BLVD
Mailing Address - Street 2:10TH FLR CTRB, NEUROLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:416-558-9962
Mailing Address - Fax:
Practice Address - Street 1:3501 CIVIC CENTRE BLVD
Practice Address - Street 2:10TH FLR CTRB, NEUROLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-1719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2021-01-13
Deactivation Date:2020-12-08
Deactivation Code:
Reactivation Date:2021-01-13
Provider Licenses
StateLicense IDTaxonomies
PAMD4688552084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology