Bakalov, Bojidar M
Bakalov, Bojidar M is an sole proprietor health care provider with primary practice located at 2301 S Broad St , Philadelphia PA 19148-3542. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bakalov, Bojidar M can be contacted via phone (215) 952-1600.Contact Information
Primary practice address
2301 S Broad St
Philadelphia PA 19148-3542
Phone: (215) 952-1600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD 435162 | Pennsylvania |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MD435162 | Pennsylvania |
Profile Details
NPI number | 1922274794 |
---|---|
LBN Legal business name | Bakalov, Bojidar M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 1st, 2008 |
Last updated | Mar 13th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922274794 | NPPES |
New Jersey | MEDICAID | 0213748 | |
New Jersey | MEDICAID | 102291957 0001 |
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