WALTER E BANTOM

PHILADELPHIA, PA
NPI1194741710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  MD04394E)
Enumeration Date2006-07-15
Last Update Date2013-04-10
Business Address
Dr. WALTER E BANTOM M.D.
5615 W GIRARD AVE
PHILADELPHIA, PA 19131-4128
Phone number: 215-477-5800
Mailing Address
Dr. WALTER E BANTOM M.D.
5615 W GIRARD AVE
PHILADELPHIA, PA 19131-4128
Phone number: 215-477-5800