Healthcare Provider Details

I. General information

NPI: 1982957866
Provider Name (Legal Business Name): DEDICATED DOCTORS, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BATH RD
BRISTOL PA
19007-3101
US

IV. Provider business mailing address

501 BATH RD
BRISTOL PA
19007-3101
US

V. Phone/Fax

Practice location:
  • Phone: 215-633-1750
  • Fax:
Mailing address:
  • Phone: 215-633-1750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER BELLETIERI
Title or Position: PHYSICIAN
Credential: DO
Phone: 215-633-1750