Basic Information
| Provider Information | |||||||||
| NPI: | 1962482802 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DAVID M. BESSELMAN, M.D. PEDIATRIC ASSOCIATES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4601 DEVONSHIRE RD | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171091547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176521211 | ||||||||
| FaxNumber: | 7176524948 | ||||||||
| Practice Location | |||||||||
| Address1: | 4601 DEVONSHIRE RD | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171091547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176521211 | ||||||||
| FaxNumber: | 7176524948 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BESSELMAN | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | M. | ||||||||
| AuthorizedOfficialTitleorPosition: | SOLE PROPRIETOR | ||||||||
| AuthorizedOfficialTelephone: | 7176521211 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD028556-L | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.