Provider Demographics
NPI:1952665259
Name:BAITEL, TAMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMAR
Middle Name:
Last Name:BAITEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3631 PENNS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SPRING MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16875-8011
Mailing Address - Country:US
Mailing Address - Phone:814-422-8873
Mailing Address - Fax:814-422-8037
Practice Address - Street 1:3631 PENNS VALLEY RD
Practice Address - Street 2:
Practice Address - City:SPRING MILLS
Practice Address - State:PA
Practice Address - Zip Code:16875-8011
Practice Address - Country:US
Practice Address - Phone:814-422-8873
Practice Address - Fax:814-422-8037
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD446204207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine