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Contact Information

JAY K BRUBAKER, MD
2110 HARRISBURG PIKE
SUITE 300
LANCASTER, PA17604-3200
 Phone: 717-544-3022
 Fax: 717-544-3021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAY K BRUBAKER · (Male)

NPI # 1063482172
Status Active
Credentials MD
Entity Individual
Enumeration date 01/23/2006
Last updated 03/30/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD012919E
  • PA Medicaid 000687604
  • PA Medicaid 0006876040001
  • PA Medicaid 0006876040002
  • PA Medicaid 0006876040004
  • PA Other 516348 AETNA HMO
  • PA Other 4662910 AETNA NON-HMO
  • PA Other 01350102 CAPITAL BLUE CROSS
  • PA Other P002665 GATEWAY HEALTH PLAN
  • PA Other 20011 S101 GEISINGER HEALTH PLAN
  • PA Other 127131 HIGHMARK BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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