Healthcare Provider Details

I. General information

NPI: 1982605192
Provider Name (Legal Business Name): DAVID J DEFILIPPIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 01/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 LANGHORNE NEWTOWN RD STE 125
LANGHORNE PA
19047-1209
US

IV. Provider business mailing address

41 UNIVERSITY DR SUITE 300
NEWTOWN PA
18940-1873
US

V. Phone/Fax

Practice location:
  • Phone: 215-710-5610
  • Fax: 215-710-5625
Mailing address:
  • Phone: 215-710-7037
  • Fax: 215-710-5181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD043496L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: