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Contact Information

JOSEPH GABRIEL F BOBADILLA, DPM
931 E HAVERFORD RD FL 3
BRYN MAWR, PA19010-3838
 Phone: 610-642-5040
 Fax: 610-642-5042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOSEPH GABRIEL F BOBADILLA · (Male)

NPI Number 1912294851
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/29/2011
Last updated 02/14/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # SC006275
Hospital affiliation(s)
  • MAIN LINE HOSPITAL BRYN MAWR CAMPUS - (Acute Care)
    130 SOUTH BRYN MAWR AVE
    BRYN MAWR, PA 19010
  • MAIN LINE HOSPITAL LANKENAU - (Acute Care)
    100 LANCASTER AVE
    WYNNEWOOD, PA 19096
  • MAIN LINE HOSPITAL PAOLI - (Acute Care)
    255 WEST LANCASTER AVENUE
    PAOLI, PA 19301
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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