Individual
DR. MICHELLE MEIQI BAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE GUSTAVE LEVY PLACE, NEW YORK, NY 11101
(212) 241-5415
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
309223
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2018
Last updated
10/24/2022
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