MEDICARE: DR. ANNE H NORRIS MD

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
1	207RI0200X	Infectious Disease Physician	MD048997L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639105877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE H NORRIS MD

Provider Business Mailing Address
First Line	:	51 N 39TH ST
Second Line	:	3910 BUILDING, 2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2640
Country	:	US
Telephone Number	:	215-662-9990
Fax Number	:	215-243-4658

Provider Business Practice Location Address
First Line	:	51 N 39TH ST
Second Line	:	3910 BUILDING, 2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2640
Country	:	US
Telephone Number	:	215-662-9990
Fax Number	:	215-243-4658

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	09/20/2019

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