Dr FIDEL DALE M BAUTISTA is a male medical professional, specializing in Family Medicine. He graduated in 2003.
GRAND VIEW HOSPITAL
419 S BROAD ST
SUITE 2
LANSDALE
PA
194463703
Tel: 2152573700
| Npi | 1114112067 |
| Pac Id | 4981767183 |
| Professional Enrollment Id | I20090114000636 |
| Last Name | BAUTISTA |
| First Name | FIDEL DALE |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | SPORTS MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | SPORTS MEDICINE |
| Organization Legal Name | GRAND VIEW HOSPITAL |
| Group Practice Pac Id | 8022001924 |
| Number Of Group Practice Members | 107 |
| Line 1 Street Address | 419 S BROAD ST |
| Line 2 Street Address | SUITE 2 |
| Marker Of Address Line 2 Suppression | |
| City | LANSDALE |
| State | PA |
| Zip Code | 194463703 |
| Phone Number | 2152573700 |
| Hospital Affiliation Ccn 1 | 390057 |
| Hospital Affiliation Lbn 1 | GRAND VIEW HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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