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Contact Information

MATTHEW D BACHARACH, MD
840 TUCK ST
LEBANON, PA17042
 Phone: 717-675-2545
 Fax: 717-675-2550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for MATTHEW D BACHARACH · (Male)

NPI # 1467422857
Status Active
Credentials MD
Entity Individual
Enumeration date 01/26/2006
Last updated 06/06/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD037966E
  • PA Medicaid 0010942080005
Hospital affiliation(s)
  • EPHRATA COMMUNITY HOSPITAL - (Acute Care)
    169 MARTIN AVENUE
    EPHRATA, PA 17522
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    FOURTH AND WALNUT STREETS
    LEBANON, PA 17042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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