Organization
PROSTATE CANCER INSTITUTE OF PENNSYLVANIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY BHATNAGAR MD (OWNER AND PHYSICIAN)
(267) 289-7247
Entity
Organization
Contact information
Practice address
400 DAVIS DR STE 200B, PLYMOUTH MEETING, PA 19462-1718
(267) 289-7247
(267) 289-7257
Mailing address
PO BOX 15088, PHOENIX, AZ 85060-5088
(267) 289-7247
(267) 289-7257
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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