Individual
DR. FIDEL DALE MENDRES BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 LAWN AVE, SELLERSVILLE, PA 18960-1551
(215) 257-3700
Mailing address
915 LAWN AVE, SELLERSVILLE, PA 18960-1551
(215) 257-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD435036
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD435036
PA
Other
Enumeration date
09/12/2007
Last updated
11/21/2025
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