Basic Information
Provider Information
NPI: 1942399746
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARTOSIK
FirstName: DELPHINE
MiddleName: BARBARA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 GROVE ST
Address2: SUITE 100
City: HADDON HEIGHTS
State: NJ
PostalCode: 080351761
CountryCode: US
TelephoneNumber: 8567969200
FaxNumber: 8567969397
Practice Location
Address1: 1601 HADDON AVE
Address2:  
City: CAMDEN
State: NJ
PostalCode: 08103
CountryCode: US
TelephoneNumber: 8567573700
FaxNumber: 8563657972
Other Information
ProviderEnumerationDate: 10/12/2006
LastUpdateDate: 06/21/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMA041903NJY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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