Individual
DR. RAYMOND SCOTT BOBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5000 PARKSIDE AVE, PHILADELPHIA, PA 19131-4714
(215) 879-6116
Mailing address
5000 PARKSIDE AVE, PHILADELPHIA, PA 19131-4714
(215) 879-6116
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
OS014132
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
OS014132
PA
Other
Enumeration date
07/10/2007
Last updated
05/26/2017
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