Healthcare Provider Details

I. General information

NPI: 1316908015
Provider Name (Legal Business Name): RICHARD ALLMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 OLD YORK RD CPC CENTER
PHILADELPHIA PA
19141
US

IV. Provider business mailing address

101 EAST OLNEY AVENUE 400
PHILADELPHIA PA
19120
US

V. Phone/Fax

Practice location:
  • Phone: 215-456-6500
  • Fax: 215-455-1933
Mailing address:
  • Phone: 215-456-7000
  • Fax: 215-254-2599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD011749E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD011749E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: