Search › Pennsylvania › Internal Medicine Physician
Walter Bantom, M.D
NPI 1194741710 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5615 W Girard Ave
Philadelphia, PA 19131 - Phone
- (215) 477-5800
- Fax
- (215) 879-8447
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania