Provider Demographics
NPI:1336194109
Name:DEBAPTISTE & ASSOCIATES OB-GYN, P.C.
Entity Type:Organization
Organization Name:DEBAPTISTE & ASSOCIATES OB-GYN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:E
Authorized Official - Last Name:DEBAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-738-7710
Mailing Address - Street 1:440 E MARSHALL ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5414
Mailing Address - Country:US
Mailing Address - Phone:610-738-7710
Mailing Address - Fax:
Practice Address - Street 1:440 E MARSHALL ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5414
Practice Address - Country:US
Practice Address - Phone:610-738-7710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043973L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001569178Medicaid
PA001569178Medicaid
PA474912Q3QMedicare ID - Type Unspecified