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

Individual provider Obstetrics & Gynecology Physician · NPI 1255667184

Nicole T. Bavuso, MD is an Obstetrics/Gynecology in Philadelphia, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Clinical Care Associates of the University of Pennsylvania Health, a 593-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2009
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

301 S 8th St Duncan Bldg Ste 3D
Philadelphia, PA 19106-4000
Phone: (215) 829-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD449423 (PA)

Record details

NPI number1255667184
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 28, 2009
Last updated in NPPESJuly 15, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Clinical Care Associates Of The University Of Pennsylvania Health. — 593 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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