Individual
DR. BRACKEN BABULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, 7TH FLOOR, STE. 701, PHILADELPHIA, PA 19107-4414
(215) 955-6410
(215) 955-6180
Mailing address
833 CHESTNUT ST, 7TH FLOOR, STE. 701, PHILADELPHIA, PA 19107-4414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248155
MA
207R00000X
Internal Medicine Physician
Primary
MD450738
PA
Other
Enumeration date
06/05/2011
Last updated
04/10/2014
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