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NPI Code Detail

MEDICARE: DR. SURBHI BHATIA D.D.S.

MEDICARE: DR. SURBHI BHATIA D.D.S.
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
11223G0001XGeneral Practice DentistryDS038913PA

General Provider Information

NPI Number : 1861713588
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SURBHI BHATIA D.D.S.
Provider Business Mailing Address
First Line : 1222 HERITAGE CIR
Second Line :
City : FEASTERVILLE TREVOSE
State : PA
Zip : 19053-7677
Country : US
Telephone Number : 917-340-0603
Fax Number :
Provider Business Practice Location Address
First Line : 320 N OXFORD VALLEY RD
Second Line :
City : FAIRLESS HILLS
State : PA
Zip : 19030-2610
Country : US
Telephone Number : 215-946-9400
Fax Number : 215-946-9409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2010
Last Update Date : 06/16/2010

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