Provider Demographics
NPI:1003022328
Name:PARUL BAROT PC
Entity Type:Organization
Organization Name:PARUL BAROT PC
Other - Org Name:5TH ST DENTAL OFFICE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PARUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAROT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-229-3040
Mailing Address - Street 1:2822 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-2712
Mailing Address - Country:US
Mailing Address - Phone:215-229-3040
Mailing Address - Fax:215-229-3041
Practice Address - Street 1:2822 N 5TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133-2712
Practice Address - Country:US
Practice Address - Phone:215-229-3040
Practice Address - Fax:215-229-3041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020825L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00052924901Medicare ID - Type Unspecified