Individual
DR. JIGNESH BHAVSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 NORTH 39TH STREET, 4 PHI, PHILADELPHIA, PA 48109-0368
(215) 662-9189
(215) 243-4612
Mailing address
51 NORTH 39TH STREET, 4 PHI, PHILADELPHIA, PA 48105-1941
(215) 662-9189
(215) 243-4612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD439620
PA
207RC0000X
Cardiovascular Disease Physician
MD439620
PA
390200000X
Student in an Organized Health Care Education/Training Program
4301084192
MI
Other
Enumeration date
03/23/2007
Last updated
10/10/2012
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