Individual provider · NPI-1

Adam Bagg, MD

Pathology, Clinical Pathology/Laboratory Medicine · Philadelphia, PA

NPI number1689619744

StatusActive

Last updated in NPPESOct 24, 2019

Details

NPI: 1689619744
Entity type: Individual (NPI-1)
Name: Adam Bagg
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 20, 2006
Last updated: Oct 24, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207ZP0105X	Pathology, Clinical Pathology/Laboratory Medicine	MD068350L	PA	Yes
207ZH0000X	Pathology, Hematology	MD068350L	PA
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	MD068350L	PA

Practice location

800 Spruce St
Philadelphia, PA 19107-6130

Phone 215-829-3000 · Fax 215-829-7564

Mailing address

800 Spruce St
Philadelphia, PA 19107-6130

Phone 215-829-3000 · Fax 215-829-7564

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