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NPI Code Detail

MEDICARE: BETH ANN BINGAMAN DO

MEDICARE: BETH ANN BINGAMAN DO
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
1207Q00000XFamily Medicine PhysicianOS008420LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
123-2359401OTHERPAMLHC TAX ID

General Provider Information

NPI Number : 1568442432
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH ANN BINGAMAN DO
Provider Business Mailing Address
First Line : 1161 MCDERMOTT DR
Second Line : SUITE 101
City : WEST CHESTER
State : PA
Zip : 19380-4064
Country : US
Telephone Number : 610-701-7011
Fax Number : 610-429-5199
Provider Business Practice Location Address
First Line : 1161 MCDERMOTT DR
Second Line : SUITE 101
City : WEST CHESTER
State : PA
Zip : 19380-4064
Country : US
Telephone Number : 610-701-7011
Fax Number : 610-429-5199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 09/24/2014

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