Stephen Joseph Bagley MD

NPI 1164717369 - Internal Medicine - 207R00000X

NPI Details
NPI 1164717369
Gender Male
Enumeration Date 06/15/2011
Last Updated 03/23/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
3400 CIVIC CENTER BLVD
PERELMAN CENTER, 7TH FLOOR SOUTH PAVILION EXTENSION
PHILADELPHIA PA, 19104-5127, US
Phone (215) 662-3681
Fax (215) 615-3704
Business Location
3400 CIVIC CENTER BLVD
PERELMAN CENTER, 7TH FLOOR SOUTH PAVILION EXTENSION
PHILADELPHIA PA, 19104-5127, US
Phone (215) 662-3681
Fax (215) 615-3704
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MT200466
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According to our database, Dr. Stephen Joseph Bagley MD NPI is 1164717369, taxonomy code is 207R00000X and license number is MT200466, license state is located at Pennsylvania. Stephen Joseph Bagley MD physically located at 3400 Civic Center Blvd, Philadelphia PA, 19104-5127. NPI Number Stephen Joseph Bagley MD has the Individual type.

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1164717369 NPI number is provided on an as is basis without warranty of any kind. 1164717369 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Joseph Bagley MD are for informational purposes only.