Individual
ALAN S. BAILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF OSTEOPATHY
Contact information
Practice address
1330 COTTMAN AVENUE, PHILADELPHIA, PA 19111-3729
(215) 728-9100
(215) 728-9101
Mailing address
POST OFFICE BOX 230, CHELTENHAM, PA 19012-0230
(215) 728-9100
(215) 728-9101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MB37784
NJ
207R00000X
Internal Medicine Physician
OS004481L
PA
207RC0000X
Cardiovascular Disease Physician
Primary
OS004481L
PA
Other
Enumeration date
08/30/2006
Last updated
01/17/2017
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