Provider Demographics
NPI:1285991232
Name:BART, JOHN PAUL (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:BART
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:940 DEITRICH RD
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:PA
Mailing Address - Zip Code:17032-7729
Mailing Address - Country:US
Mailing Address - Phone:570-956-5813
Mailing Address - Fax:
Practice Address - Street 1:50 VINE STREET
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-0298
Practice Address - Country:US
Practice Address - Phone:570-424-8500
Practice Address - Fax:570-517-5967
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS-009637-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine