Healthcare Provider Details

I. General information

NPI: 1881108843
Provider Name (Legal Business Name): DELAWARE VALLEY HEALTHCARE INVESTMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2017
Last Update Date: 11/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 COMMERCE DR STE 108
FORT WASHINGTON PA
19034-2724
US

IV. Provider business mailing address

401 COMMERCE DR STE 108
FORT WASHINGTON PA
19034-2724
US

V. Phone/Fax

Practice location:
  • Phone: 610-628-1228
  • Fax: 610-432-2332
Mailing address:
  • Phone: 610-628-1228
  • Fax: 610-432-2332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. SAVANI BHASKAR
Title or Position: DOCTOR/PRESIDENT
Credential:
Phone: 610-628-1228