MEDICARE: MR. DENNIS SLOCHOWER 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	207W00000X	Ophthalmology Physician	MD026878E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00143978	OTHER	PA	RR MEDICARE INDIVIDUAL

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	0858718	OTHER	PA	CIGNA INDIVIDUAL ID
3	0053142000	OTHER	PA	IBC INDIVIDUAL ID
4	3615269	OTHER	PA	AETNA INDIVIDUAL ID

General Provider Information

NPI Number	:	1932192259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DENNIS SLOCHOWER M.D.

Provider Business Mailing Address
First Line	:	1263 CLUB HOUSE RD
Second Line	:
City	:	GLADWYNE
State	:	PA
Zip	:	19035-1003
Country	:	US
Telephone Number	:	610-527-2221
Fax Number	:

Provider Business Practice Location Address
First Line	:	2818 COTTMAN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1419
Country	:	US
Telephone Number	:	215-331-4141
Fax Number	:	215-338-0167

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	01/30/2014

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Directions to “ MR. DENNIS SLOCHOWER M.D.” Practice Location

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