Individual
ALICIA BAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 CHESTNUT ST STE 220, PHILADELPHIA, PA 19107-4405
(215) 955-8465
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MT229321
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
05/20/2026
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