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1023006053
BIZATH TAQUI
PHILADELPHIA, PA
NPI
1023006053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD0713205L)
Enumeration Date
2005-10-13
Last Update Date
2018-04-10
Business Address
BIZATH TAQUI
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-1622
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Mailing Address
BIZATH TAQUI
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19182-7783
Phone number: 215-707-1622
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