Marilyn C Bevacqua

NPI #1902853088 in Havertown, Pennsylvania

Provider Information

NPI Number: 1902853088
Entity Type: Individual
Name: Marilyn C Bevacqua
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Enumeration Date: May 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 40 BROOKLINE BLVD
City: Havertown
State: Pennsylvania
ZIP Code: 19083-3802
Phone: (610) 446-4225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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