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Dr. Walter E Bantom III, MD
Internal Medicine Physician in Philadelphia, Pennsylvania
NPI 1194741710

Walter E Bantom III is a Internal Medicine Physician based in Philadelphia, PA. Walter E Bantom III practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Walter E Bantom III is 1194741710 and holds a License No. MD04394E (Pennsylvania).

The current practice location address for Walter E Bantom III is 5615 W Girard Ave, Philadelphia, PA and can be reached out via phone at 215-477-5800 and via fax at 215-879-8447.

Location: 5615 W Girard Ave, Philadelphia, PA, 19131-4128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194741710
Provider Name
Walter E Bantom III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5615 W Girard Ave, Philadelphia, PA, 19131-4128
Phone Number
215-477-5800
Fax Number
215-879-8447
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
218045 01 PA MEDICARE ID - TYPE UNSPECIFIED
1172977 05 PA
0110990001 01 PA INDEPENDENCE BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
5615 W Girard Ave
City
Philadelphia
State
Pennsylvania
Zip
19131-4128
Phone Number
215-477-5800
Fax Number
215-879-8447
person
Provider Business Mailing Address Details
Address
5615 W Girard Ave
City
Philadelphia
State
Pennsylvania
Zip
19131-4128
Phone Number
215-477-5800
Fax Number
215-879-8447
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
MD04394E (Pennsylvania)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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