Individual
DR. ELIZA HAYES BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7700 GERMANTOWN AVE STE 200, PHILADELPHIA, PA 19118-3563
(215) 247-1172
Mailing address
7700 GERMANTOWN AVE STE 200, PHILADELPHIA, PA 19118-3563
(215) 247-1172
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD482521
PA
Other
Enumeration date
03/20/2010
Last updated
10/12/2023
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