Individual
DR. JASON PHILIP VANBATAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF UROLOGY, PHILADELPHIA, PA 19104-4319
(267) 608-5467
Mailing address
1188 STEEL RD, HAVERTOWN, PA 19083-3211
(914) 629-6140
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25MA10755800
NJ
208800000X
Urology Physician
Primary
MD458362
PA
2088P0231X
Pediatric Urology Physician
MT208989
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2009
Last updated
07/17/2020
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