Individual
DR. BILL J PAVLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 W. ASHLAND AVE., GLENOLDEN, PA 19036
(484) 494-5604
(610) 461-7423
Mailing address
901 W. ASHLAND AVE., GLENOLDEN, PA 19036
(484) 494-5604
(610) 461-7423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD045093L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00901524
—
NY
01
—
GU039765
PA MEDICARE GROUP
PA
Enumeration date
02/15/2006
Last updated
12/29/2015
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