David a. Bottger M.D.
Organization Active NPI Preferred Provider Organization · Newtown Square, PA
NPI 1255729695 · NPPES record last updated Jan 8, 2015
Key facts
- NPI
- 1255729695
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preferred Provider Organization 305R00000X
- License
- MD045572-E (PA)
- Legal business name
- DAVID A. BOTTGER M.D.
- Practice address
- 3855 W Chester Pike
Suite 230
Newtown Square, PA 19073-2304 - Phone
- (610) 355-1929
- Fax
- (610) 355-1926
- NPI assigned
- Jan 8, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. David A Bottger, M.D.
- Title
- Doctor
- Phone
- (610) 355-1929
Practitioners 1
National Provider Directory
Locations
3855 West Chester Pike
Ste 230
Newtown Square, PA 19073
Phone (610) 355-1929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | MD045572-E | PA | Yes |
Addresses
Primary practice location
3855 W Chester Pike
Suite 230
Newtown Square, PA 19073-2304
Mailing address
3855 W Chester Pike
Suite 230
Newtown Square, PA 19073-2304
Phone (610) 355-1929
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All providers in Newtown Square, PA · Preferred Provider Organization in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.