Domenic Baglivo, D.M.D

NPI 1952413569 · on the registry since 2006 · sole proprietor

Practice

Address: 100 E Lancaster Ave
203 Lankenau Medical Building
Wynnewood, PA 19096
Phone: (610) 642-0259
Fax: (610) 896-6405
Organisation at this address: Gary Gordon
Walgreen Co.
Donald J Corey
Ling Associates
P&K Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 923

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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