Provider Demographics
NPI:1831160787
Name:BATTAGLIA, DAVID R (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:BATTAGLIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3803 W CHESTER PIKE
Mailing Address - Street 2:STE 160
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2336
Mailing Address - Country:US
Mailing Address - Phone:484-337-1530
Mailing Address - Fax:484-337-1412
Practice Address - Street 1:306 E LANCASTER AVE FL 3
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2105
Practice Address - Country:US
Practice Address - Phone:610-649-5033
Practice Address - Fax:610-645-5610
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
PAMD042580L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E62671Medicare UPIN
E62671Medicare UPIN
E62671Medicare UPIN