MEDICARE: ARTHUR BART HODESS M.D.

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	207RC0000X	Cardiovascular Disease Physician	MD017100E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0026182000	OTHER	PA	INDEPENDENCE BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770554099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR BART HODESS M.D.

Provider Business Mailing Address
First Line	:	154 EXTON SQUARE MALL
Second Line	:
City	:	EXTON
State	:	PA
Zip	:	19341-2440
Country	:	US
Telephone Number	:	484-876-2160
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 EXTON SQUARE MALL
Second Line	:
City	:	EXTON
State	:	PA
Zip	:	19341-2440
Country	:	US
Telephone Number	:	484-876-2160
Fax Number	:

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	04/28/2022

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