MEDICARE: DR. EMIL P SFEDU 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	174400000X	Specialist	MD030457E	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922053396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMIL P SFEDU M.D.

Provider Business Mailing Address
First Line	:	716 N 24TH ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19130-2535
Country	:	US
Telephone Number	:	215-765-7745
Fax Number	:	215-765-2550

Provider Business Practice Location Address
First Line	:	716 N 24TH ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19130-2535
Country	:	US
Telephone Number	:	215-765-7745
Fax Number	:	215-765-2550

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. EMIL P SFEDU M.D.” Practice Location

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