Individual
DR. BOJIDAR M BAKALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-1600
Mailing address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-1600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 435162
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD435162
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213748
—
NJ
05
—
102291957 0001
—
PA
Enumeration date
05/01/2008
Last updated
03/13/2014
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