Healthcare Provider Details
I. General information
NPI: 1932375078
Provider Name (Legal Business Name): EMELIA ARGYROPOULOS BACHMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/07/2008
Last Update Date: 11/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 KING OF PRUSSIA RD
RADNOR PA
19087-5227
US
IV. Provider business mailing address
250 KING OF PRUSSIA RD
RADNOR PA
19087-5227
US
V. Phone/Fax
- Phone: 610-902-2500
- Fax: 610-902-2531
- Phone: 610-902-2500
- Fax: 610-902-2531
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | C1-0010363 |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | MD442074 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: