Provider Demographics
NPI:1063496321
Name:DEBIAS, DENNIS ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ANTHONY
Last Name:DEBIAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 GRAVEL PIKE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-2364
Mailing Address - Country:US
Mailing Address - Phone:610-287-6650
Mailing Address - Fax:610-287-6652
Practice Address - Street 1:1000 GRAVEL PIKE
Practice Address - Street 2:SUITE 400
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473-2364
Practice Address - Country:US
Practice Address - Phone:610-287-6650
Practice Address - Fax:610-287-6652
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2011-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD039666E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE21993Medicare UPIN