MEDICARE: ROCIO E BADRA 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	2084F0202X	Forensic Psychiatry Physician	MD035508L	PA
2	2084P0800X	Psychiatry Physician	MD035508L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841399490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCIO E BADRA M.D.

Provider Business Mailing Address
First Line	:	50 BEECH DR
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19403-5421
Country	:	US
Telephone Number	:	610-279-6100
Fax Number	:	610-279-0978

Provider Business Practice Location Address
First Line	:	50 BEECH DR
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19403-5421
Country	:	US
Telephone Number	:	610-279-6100
Fax Number	:	610-279-0978

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	06/01/2011

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