Individual
DR. EILEEN AMY BAZELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3900 CITY AVE, D-120, PHILA, PA 19131-2908
(215) 477-3330
(215) 477-3362
Mailing address
3900 CITY AVE, D-120, PHILA, PA 19131-2908
(215) 477-3330
(215) 477-3362
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD013268E
PA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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