Individual
WILLIAM BAXT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, GROUND SILVER STE N BLDG, PHILADELPHIA, PA 19104
(215) 662-6963
Mailing address
3400 SPRUCE ST, GROUND SILVER STE N BLDG, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD052533L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015216840001
—
PA
Enumeration date
06/06/2006
Last updated
01/25/2011
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