Individual
DR. BEZAREL M BANADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
770 E PROVIDENCE ROAD, SUITE 112, ALDAN, PA 19018
(610) 626-4400
(610) 284-5051
Mailing address
770 E PROVIDENCE ROAD, SUITE 112, ALDAN, PA 19018
(610) 626-4400
(610) 284-5051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD059215L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-01596406
—
PA
Enumeration date
08/11/2006
Last updated
09/12/2007
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