Individual
BERNADETTE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 W ONTARIO ST, PHILADELPHIA, PA 19140-5220
(215) 707-2400
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD483414
PA
Other
Enumeration date
03/31/2019
Last updated
07/17/2025
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