MEDICARE: AMBER BATOOL DO

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	390200000X	Student in an Organized Health Care Education/Training Program	OS018702	PA
2	208600000X	Surgery Physician	OS018702	PA
3	2086S0127X	Trauma Surgery Physician	OS018702	PA

General Provider Information

NPI Number	:	1679870653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER BATOOL DO

Provider Business Mailing Address
First Line	:	800 SPRUCE STREET
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6130
Country	:	US
Telephone Number	:	215-662-7320
Fax Number	:	215-243-4605

Provider Business Practice Location Address
First Line	:	800 SPRUCE STREET
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6130
Country	:	US
Telephone Number	:	215-662-7320
Fax Number	:	215-243-4605

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2011
Last Update Date	:	05/21/2026

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Directions to “ AMBER BATOOL DO” Practice Location

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