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NPI Code Detail

MEDICARE: JOHN M PEPE MD PLLC

MEDICARE: JOHN M PEPE MD PLLC
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
1207RN0300XNephrology Physician

General Provider Information

NPI Number : 1972757672
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN M PEPE MD PLLC
Provider Business Mailing Address
First Line : 1550 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-1578
Country : US
Telephone Number : 718-982-7800
Fax Number :
Provider Business Practice Location Address
First Line : 1550 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-1578
Country : US
Telephone Number : 718-982-7800
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. JOHN PEPE
Credential :
Telephone Number : 718-982-7800
Provider Enumeration Date : 11/07/2008
Last Update Date : 04/06/2009

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Directions to “JOHN M PEPE MD PLLC ” Practice Location

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