Mark Leonard Bagarazzi
Pediatric Infectious Diseases
280 Garrison Way
Conshohocken
, Pennsylvania 19428-2546
Mark Leonard Bagarazzi
Pediatric Infectious Diseases
280 Garrison Way
Conshohocken
, Pennsylvania 19428-2546
(610) 527-8997
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Mark Leonard Bagarazzi
- 280 Garrison Way
- Conshohocken, PA
- Zip : 19428-2546
- Phone : (610) 527-8997
Second Address
- Mark Leonard Bagarazzi
- 280 Garrison Way
- Conshohocken, PA
- Zip : 19428-2546
- Phone : (610) 527-8997
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | MD047811L | PA |
National Provider Identifier
| NPI | 1538579263 |
|---|---|
| Provider Name | Mark Leonard Bagarazzi |
| First Address | Conshohocken, PA 19428-2546 |
| Second Address | Conshohocken, PA 19428-2546 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2014 |
| Last Update Date | 02/05/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.