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NPI Code Detail

MEDICARE: JOY BILBAO

MEDICARE: JOY BILBAO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN756958PA

General Provider Information

NPI Number : 1043938483
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY BILBAO
Provider Business Mailing Address
First Line : 3300 DISSTON ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-2008
Country : US
Telephone Number : 267-600-8574
Fax Number :
Provider Business Practice Location Address
First Line : 3300 DISSTON ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-2008
Country : US
Telephone Number : 267-600-8574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2022
Last Update Date : 08/22/2022

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Directions to “ JOY BILBAO ” Practice Location

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