Individual
DR. ODEZZA AGUSTIN BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 BEECH DR, NORRISTOWN, PA 19403-5421
(610) 279-6100
Mailing address
50 BEECH DR, NORRISTOWN, PA 19403-5421
(610) 279-6100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD432919
PA
Other
Enumeration date
05/10/2007
Last updated
03/26/2010
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