Bizath Taqui

NPI 1023006053 - Internal Medicine - 207R00000X

NPI Details
NPI 1023006053
Gender Male
Enumeration Date 10/13/2005
Last Updated 03/30/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
1316 W ONTARIO ST
PHILADELPHIA PA, 19140-5220, US
Phone (215) 707-1800
Fax (215) 707-3644
Business Location
2450 W HUNTING PARK AVE
PHILADELPHIA PA, 19182-7783, US
Phone (215) 707-1800
Fax (215) 707-3644
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD0713205L
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According to our database, Bizath Taqui NPI is 1023006053, taxonomy code is 207R00000X and license number is MD0713205L, license state is located at Pennsylvania. Bizath Taqui physically located at 1316 W Ontario St, Philadelphia PA, 19140-5220. NPI Number Bizath Taqui has the Individual type.

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1023006053 NPI number is provided on an as is basis without warranty of any kind. 1023006053 is maintained by the National Plan & Provider Enumeration System. The contents of Bizath Taqui are for informational purposes only.