Individual
JOSEPH BAVARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103-6381
(610) 402-6890
Mailing address
3400 SPRUCE STREET, 6 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 615-4949
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD039845L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110012700003
—
PA
Enumeration date
05/27/2006
Last updated
04/03/2024
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