Healthcare Provider Details

I. General information

NPI: 1609970029
Provider Name (Legal Business Name): BUCKS COUNTY ONCOPLASTIC INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 UNION ST SUITE 1800
NASHVILLE TN
37219-1733
US

IV. Provider business mailing address

3300 TILLMAN AVENUE
BENSALEM PA
19020
US

V. Phone/Fax

Practice location:
  • Phone: 615-777-8201
  • Fax:
Mailing address:
  • Phone: 215-639-9604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. BETH BAUGHMAN DUPREE
Title or Position: CEO
Credential: M.D.
Phone: 215-639-9604