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NPI Code Detail

MEDICARE: DR. RAJAN D FALDU D.M.D

MEDICARE: DR. RAJAN D FALDU D.M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDSO038807PA

General Provider Information

NPI Number : 1265729776
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJAN D FALDU D.M.D
Provider Business Mailing Address
First Line : 803 MOUNTAIN HOME RD
Second Line : SUITE 108
City : SINKING SPRING
State : PA
Zip : 19608-9319
Country : US
Telephone Number : 267-460-4254
Fax Number : 215-646-6199
Provider Business Practice Location Address
First Line : 401 COMMERCE DR
Second Line : SUITE 108
City : FT WASHINGTON
State : PA
Zip : 19034-2714
Country : US
Telephone Number : 267-460-4254
Fax Number : 215-646-6199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2011
Last Update Date : 02/01/2016

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