Provider Demographics
NPI:1447641204
Name:BACH, PHIL VU (MD)
Entity type:Individual
Prefix:MR
First Name:PHIL
Middle Name:VU
Last Name:BACH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:525 EAST 68 STREET
Mailing Address - Street 2:WEILL CORNELL MEDICAL COLLEGE - DEPARTMENT OF UROLOGY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-746-5455
Mailing Address - Fax:212-746-8153
Practice Address - Street 1:525 EAST 68 STREET
Practice Address - Street 2:WEILL CORNELL MEDICAL COLLEGE - DEPARTMENT OF UROLOGY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-746-5455
Practice Address - Fax:212-746-8153
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2015-08-20
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Provider Licenses
StateLicense IDTaxonomies
NY278068208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology