MEDICARE: ARTHUR ROBERT BARTOLOZZI M.D.

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	MD028153E	PA
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	25MA05592700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2069873	OTHER	PA	AETNA
2	0082959000	OTHER	PA	I.B.C.

General Provider Information

NPI Number	:	1710921887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR ROBERT BARTOLOZZI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8500-1672
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-1672
Country	:	US
Telephone Number	:	215-269-6700
Fax Number	:	215-269-6701

Provider Business Practice Location Address
First Line	:	601 WALNUT ST
Second Line	:	STE L50
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3323
Country	:	US
Telephone Number	:	215-409-9300
Fax Number	:	215-409-9365

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	02/18/2013

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