Individual
ALYSSA BACCARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 425-4770
Mailing address
2929 ARCH ST FL 12, PHILADELPHIA, PA 19104-2857
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD474616
PA
Other
Enumeration date
03/30/2018
Last updated
10/08/2024
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