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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922274794 NPPES
New Jersey MEDICAID 0213748
New Jersey MEDICAID 102291957 0001

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