Individual
MR. DANIEL JOHN BACHOVIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MS
Contact information
Practice address
5800 RIDGE AVE, ROXBOROUGH MEMORIAL HOSPITAL EMERGENCY DEPARTMENT, PHILADELPHIA, PA 19128-1737
(302) 379-4060
Mailing address
274 KALOS ST, PHILADELPHIA, PA 19128-3832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054540
PA
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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