Dr. Harris Baderak
Emergency Physician Emergency Medical Services
169 Martin Ave
Ephrata
, Pennsylvania 17522-1002
Dr. Harris Baderak
Emergency Physician Emergency Medical Services
169 Martin Ave
Ephrata
, Pennsylvania 17522-1002
(717) 738-2866
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Harris Baderak
- 980 Fairview Ave
- Ephrata, PA
- Zip : 17522-1319
- Fax : (717) 738-2866
- Phone : (717) 733-3515
Second Address
- Dr. Harris Baderak
- 169 Martin Ave
- Ephrata, PA
- Zip : 17522-1002
- Phone : (717) 738-6420
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | OS-003842-L | PA |
| N | 207PE0004X | Emergency Medical Services | OS-003842-L | PA |
National Provider Identifier
| NPI | 1114946217 |
|---|---|
| Provider Name | Dr. Harris Baderak |
| First Address | Ephrata, PA 17522-1319 |
| Second Address | Ephrata, PA 17522-1002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D77369 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.