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Individual

MARK LEONARD BAGARAZZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
280 GARRISON WAY, CONSHOHOCKEN, PA 19428-2546
(610) 527-8997
Mailing address
280 GARRISON WAY, CONSHOHOCKEN, PA 19428-2546
(610) 527-8997

Taxonomy

Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD047811L
PA

Other

Enumeration date
05/02/2014
Last updated
05/02/2014
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