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NPI Code Detail

MEDICARE: KATHY-ANN HIDALGO PA-C

MEDICARE: KATHY-ANN HIDALGO PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantMA051583PA

General Provider Information

NPI Number : 1275590770
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY-ANN HIDALGO PA-C
Provider Business Mailing Address
First Line : 41 UNIVERSITY DR STE 300
Second Line :
City : NEWTOWN
State : PA
Zip : 18940-1873
Country : US
Telephone Number : 215-710-5522
Fax Number : 215-710-5181
Provider Business Practice Location Address
First Line : 4595 NEW FALLS RD STE A
Second Line :
City : LEVITTOWN
State : PA
Zip : 19056-3004
Country : US
Telephone Number : 267-587-3700
Fax Number : 215-949-2650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 05/20/2021

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Directions to “ KATHY-ANN HIDALGO PA-C” Practice Location

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