Individual
DR. DAVID AVERY BOTTGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3855 W CHESTER PIKE, SUITE 230, NEWTOWN SQUARE, PA 19073-2304
(610) 355-1929
(610) 355-1926
Mailing address
3855 W CHESTER PIKE, SUITE 230, NEWTOWN SQUARE, PA 19073-2304
(610) 355-1929
(610) 355-1926
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD045572E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000612038
PA BLUE SHIELD
PA
01
—
0440161000
KEYSTONE HEALTHPLAN
PA
01
—
1046353003
CIGNA
PA
01
—
99581
AETNA HEALTHCARE
PA
Enumeration date
04/14/2006
Last updated
02/25/2014
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