Individual
MRS. KATIE M BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.M.S., PA-C
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-0735
Mailing address
5008 DAVIS DR, DOYLESTOWN, PA 18902-1138
(215) 266-2803
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053899
PA
363AM0700X
Medical Physician Assistant
OA002369
PA
Other
Enumeration date
08/06/2009
Last updated
07/17/2012
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