| Ashok J Bharucha MD PC | |
|
119 S Burrowes St Suie 602 State College PA 16801-3894 | |
| (608) 797-8287 | |
| (814) 690-2151 |
| Full Name | Ashok J Bharucha MD PC |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 119 S Burrowes St, State College, Pennsylvania |
| Authorized Official Name and Position | Ashok J Bharucha (MD) |
| Authorized Official Contact | 6087978287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashok J Bharucha MD PC 603 Kreamer Ave Lewisburg PA 17837-6858 Ph: (608) 797-8287 | Ashok J Bharucha MD PC 119 S Burrowes St Suie 602 State College PA 16801-3894 Ph: (608) 797-8287 |
| NPI Number | 1174913347 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 01/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174913347 | NPI | - | NPPES |
| 813550001 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD070573L (Pennsylvania) | Primary |
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