Individual
BRIDGET KATHLEEN BANKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3830
Mailing address
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-3830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059534
PA
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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