NPI 1255729695

David A. Bottger M.D.

Organisation Preferred Provider Organization Newtown Square, PA

Practice location

Address: 3855 W Chester Pike Suite 230, Newtown Square, PA 19073-2304
Phone: (610) 355-1929
Fax: (610) 355-1926

Authorised official

Name: David a Bottger
Title: Doctor
Phone: (610) 355-1929

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MD045572-E (PA)

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Registry record

NPI: 1255729695
Entity type: Organization
NPI issued: 8 Jan 2015
Record last updated: 8 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.