MEDICARE: PARUL BAROT PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS020825L	PA

General Provider Information

NPI Number	:	1003022328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARUL BAROT PC

Provider Business Mailing Address
First Line	:	2822 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-2712
Country	:	US
Telephone Number	:	215-229-3040
Fax Number	:	215-229-3041

Provider Business Practice Location Address
First Line	:	2822 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-2712
Country	:	US
Telephone Number	:	215-229-3040
Fax Number	:	215-229-3041

Authorized Official
Title or Position	:	OWNER
Name	:	MS. PARUL BAROT
Credential	:
Telephone Number	:	215-229-3040

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	08/22/2020

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