Individual
BAILEY VICTORIA TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 MOUNT VERNON ST APT 507, PHILADELPHIA, PA 19130-3475
(508) 631-1551
Mailing address
4145 PECHIN ST, PHILADELPHIA, PA 19128-3515
(508) 631-1551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064863
PA
Other
Enumeration date
09/15/2023
Last updated
08/26/2025
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