Individual
CAESAR BANKOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
132 S 10TH ST, PHILADELPHIA, PA 19107-5244
(215) 955-6840
Mailing address
1148 N 2ND ST UNIT 2H, PHILADELPHIA, PA 19123-1870
(443) 616-1953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA067414
PA
363A00000X
Physician Assistant
OA007557
PA
Other
Enumeration date
12/13/2025
Last updated
03/27/2026
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