Individual provider · Type 1 NPI

Fottfam Baguio Labouff, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1770089930 Active

Practice location

555 S 43rd St
Philadelphia, PA 19104-4408

Call (215) 685-7504 Map

Mailing address

7240 Ridge Ave
Philadelphia, PA 19128-3203

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA059727 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1770089930

Fottfam Baguio Labouff, PA-C's National Provider Identifier is 1770089930, issued on Apr 4, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 4, 2018.