MEDICARE: DR. NINO VITTORIO 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	207R00000X	Internal Medicine Physician	MD036613	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	:	1710990239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NINO VITTORIO M.D.

Provider Business Mailing Address
First Line	:	500 S BROAD ST
Second Line	:	SUITE 360
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1613
Country	:	US
Telephone Number	:	215-685-6769
Fax Number	:	215-685-6732

Provider Business Practice Location Address
First Line	:	1720 S BROAD ST
Second Line	:	HEALTH CARE CENTER #2
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-2315
Country	:	US
Telephone Number	:	215-685-1803
Fax Number	:	215-683-1815

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

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1841202140 — DR. EFREN COSTIBOLO GO M.D.
Practice Location Address:

1720 S BROAD ST , HEALTH CARE CENTER #2
PHILADELPHIA, PA
19145-2315

Practice Phone: 215-685-1803
Practice Fax: 215-683-1815

1306959309 — DR. JULIE SOSA CHERIAN M.D.
Practice Location Address:

1720 S BROAD ST , HEALTH CARE CENTER #2
PHILADELPHIA, PA
19145-2315

Practice Phone: 215-685-1803
Practice Fax: 215-683-1815

1780790832 — DR. NICHOLAS NGHI VO DMD
Practice Location Address:

1720 S BROAD ST , HEALTH CENTER #2
PHILADELPHIA, PA
19145-2315

Practice Phone: 215-685-1810
Practice Fax: 215-683-1815

1124136346 — DR. SUSAN WENGER ROBBINS M.D.
Practice Location Address:

1720 S BROAD ST , HEALTH CARE CENTER #2
PHILADELPHIA, PA
19145-2315

Practice Phone: 215-685-1803
Practice Fax: 215-683-1815

1851497994 — SANDRA ROBINSON
Practice Location Address:

1720 S BROAD ST
PHILADELPHIA, PA
19145-2315

Practice Phone: 215-685-1834
Practice Fax:

1962508010 — PHAEDRA KIRKLAND R.PH.
Practice Location Address:

1720 S BROAD ST
PHILADELPHIA, PA
19145-2315

Practice Phone: 215-685-1834
Practice Fax:

Directions to “ DR. NINO VITTORIO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.