Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Baccarella, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1134625155

Alyssa Baccarella, MD is a Pediatric Gastroenterology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (267) 425-4770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence MD474616 (PA)

Record details

NPI number1134625155
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address2929 Arch St Fl 12, Philadelphia, PA 19104-2857

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