Individual
BRIGID B BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
561 FAIRTHORNE AVE, PHILA, PA 19128-2412
(215) 487-4164
(267) 338-2272
Mailing address
561 FAIRTHORNE AVE, PHILA, PA 19128-2412
(215) 487-4164
(267) 338-2272
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD072209L
PA
Other
Enumeration date
01/27/2007
Last updated
03/23/2011
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