=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073739140
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DENNIS A DEBIAS M D P C
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2007
-----------------------------------------------------
Last Update Date | 09/21/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 GRAVEL PIKE SUITE 400
-----------------------------------------------------
City | SCHWENKSVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19473-2364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-287-6650
-----------------------------------------------------
Fax | 610-287-6652
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1000 GRAVEL PIKE SUITE 400
-----------------------------------------------------
City | SCHWENKSVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19473-2364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-287-6650
-----------------------------------------------------
Fax | 610-287-6652
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER AND PRESIDENT
-----------------------------------------------------
Name | DR. DENNIS ANTHONY DEBIAS
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 610-287-6650
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | MD039666E
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------