Individual
CORAZON A BAHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-7062
Mailing address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-7062
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C10005282
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000897701
—
DE
Enumeration date
01/16/2006
Last updated
03/27/2012
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