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Contact Information

VATHANA O BUNYA
2415 N 33RD ST
PHILADELPHIA, PA19132-2804
 Phone: 215-225-6222
 Fax: 610-668-3695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VATHANA O BUNYA · (Female)

NPI # 1295821742
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD035212L
  • PA Medicaid 0094630304
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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