Provider Demographics
NPI:1962482802
Name:DAVID M. BESSELMAN, M.D. PEDIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:DAVID M. BESSELMAN, M.D. PEDIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:BESSELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-652-1211
Mailing Address - Street 1:4601 DEVONSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-1547
Mailing Address - Country:US
Mailing Address - Phone:717-652-1211
Mailing Address - Fax:717-652-4948
Practice Address - Street 1:4601 DEVONSHIRE RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-1547
Practice Address - Country:US
Practice Address - Phone:717-652-1211
Practice Address - Fax:717-652-4948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028556-L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty