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Individual

DR. HARRIS BADERAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1002
(717) 738-6420
Mailing address
980 FAIRVIEW AVE, EPHRATA, PA 17522-1319
(717) 733-3515
(717) 738-2866

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS-003842-L
PA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
OS-003842-L
PA

Other

Enumeration date
07/19/2006
Last updated
09/11/2025
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