Healthcare Provider Details

I. General information

NPI: 1174520738
Provider Name (Legal Business Name): DAVID JOHN FILTRANTI PA
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 11/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SAND HILL RD STE 102
FLEMINGTON NJ
08822-4946
US

IV. Provider business mailing address

1203 LANGHORNE NEWTOWN RD STE 138
LANGHORNE PA
19047-1212
US

V. Phone/Fax

Practice location:
  • Phone: 908-782-0600
  • Fax: 908-782-7575
Mailing address:
  • Phone: 908-782-0600
  • Fax: 908-782-7575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number25MP00127600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: