MEDICARE: NC BATTAFARANO, MD 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	207R00000X	Internal Medicine Physician	MD022861L	PA

General Provider Information

NPI Number	:	1700068681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NC BATTAFARANO, MD PC

Provider Business Mailing Address
First Line	:	1110 W VALLEY RD
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-1440
Country	:	US
Telephone Number	:	610-688-5477
Fax Number	:	610-688-7274

Provider Business Practice Location Address
First Line	:	1110 W VALLEY RD
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-1440
Country	:	US
Telephone Number	:	610-688-5477
Fax Number	:	610-688-7274

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	NICHOLAS C BATTAFARANO
Credential	:
Telephone Number	:	610-688-5477

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	12/04/2007

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