MEDICARE: STEPHEN F FICCHI DO

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	261QM1300X	Multi-Specialty Clinic/Center
2	207Q00000X	Family Medicine Physician	OS003881L	PA

General Provider Information

NPI Number	:	1841218559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN F FICCHI DO

Provider Business Mailing Address
First Line	:	PO BOX 1006
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-5006
Country	:	US
Telephone Number	:	215-750-9600
Fax Number	:	215-750-8067

Provider Business Practice Location Address
First Line	:	3310 S 20TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-5764
Country	:	US
Telephone Number	:	215-750-9600
Fax Number	:	215-750-8067

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	01/16/2026

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