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Individual

MR. PHILIP J BANGURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED

Contact information

Practice address
6630 LEEDS ST APT 1, PHILADELPHIA, PA 19151-3028
(484) 841-3426
(484) 841-3426
Mailing address
6630 LEEDS ST APT 1, PHILADELPHIA, PA 19151-3028
(484) 841-3426
(484) 841-3426

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
PA

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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