Individual
DR. JOHN R BULLINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 N 39TH STREET, 4 PHI, PHILADELPHIA, PA 19104-2640
(215) 910-9044
(215) 243-3264
Mailing address
51 N 39TH STREET, 4 PHI, PHILADELPHIA, PA 19104-2640
(215) 910-9044
(215) 243-3264
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD430155
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD430155
PA
Other
Enumeration date
07/05/2006
Last updated
11/19/2018
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