Individual
DR. GARY ALAN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 349-8310
(215) 893-7270
Mailing address
3910 N POWELTON AVE, PHILADELPHIA, PA 19104-2640
(215) 349-8310
(215) 893-7270
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD472249
PA
2086S0102X
Surgical Critical Care Physician
MD472249
PA
2086S0127X
Trauma Surgery Physician
MD472249
PA
Other
Enumeration date
01/14/2010
Last updated
12/17/2025
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