Individual
BARTHOLOMEW J BACAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 N BROAD ST STE 401, PHILADELPHIA, PA 19107-1553
(215) 762-4600
Mailing address
443 KEVIN DR, BETHLEHEM, PA 18017-2455
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA11768000
NJ
Other
Enumeration date
03/20/2018
Last updated
11/08/2023
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