Individual
DEANNA BETH BULTHUIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, CROZER CHESTER MEDICAL CENTER, UPLAND, PA 19013-3902
(215) 447-2000
(610) 317-6280
Mailing address
PO BOX 13973, HAN - EMERGENCY PHYSICIANS, PHILADELPHIA, PA 19101-3973
(800) 666-2455
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD421164
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01951890
—
PA
Enumeration date
05/26/2006
Last updated
07/08/2007
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