Individual
NAYANTARA SUBRAMANYA BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2459 ARAMINGO AVE, PHILADELPHIA, PA 19125-3731
(215) 427-2800
Mailing address
1601 SANSOM ST APT 5G, PHILADELPHIA, PA 19103-5102
(415) 792-7652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042387
PA
Other
Enumeration date
06/07/2019
Last updated
08/02/2019
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