MEDICARE: DELAWARE VALLEY HEALTHCARE INVESTMENT LLC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1881108843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELAWARE VALLEY HEALTHCARE INVESTMENT LLC

Provider Business Mailing Address
First Line	:	401 COMMERCE DR STE 108
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2724
Country	:	US
Telephone Number	:	610-628-1228
Fax Number	:	610-432-2332

Provider Business Practice Location Address
First Line	:	401 COMMERCE DR STE 108
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2724
Country	:	US
Telephone Number	:	610-628-1228
Fax Number	:	610-432-2332

Authorized Official
Title or Position	:	DOCTOR/PRESIDENT
Name	:	DR. SAVANI BHASKAR
Credential	:
Telephone Number	:	610-628-1228

Provider Enumeration Date	:	11/28/2017
Last Update Date	:	11/28/2017

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