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NPI Code Detail

MEDICARE: MS. LINDA BAILEY P.A.

MEDICARE: MS. LINDA BAILEY P.A.
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
1363AS0400XSurgical Physician Assistant

General Provider Information

NPI Number : 1053369041
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA BAILEY P.A.
Provider Business Mailing Address
First Line : 40 NORWYN RD
Second Line :
City : HATBORO
State : PA
Zip : 19040-2018
Country : US
Telephone Number : 215-456-7000
Fax Number : 215-254-2599
Provider Business Practice Location Address
First Line : 101 E OLNEY AVE
Second Line : SUITE 400
City : PHILADELPHIA
State : PA
Zip : 19120-2421
Country : US
Telephone Number : 215-456-7000
Fax Number : 215-254-2599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 07/08/2007

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Directions to “ MS. LINDA BAILEY P.A.” Practice Location

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