Healthcare Provider Details

I. General information

NPI: 1902910391
Provider Name (Legal Business Name): VICTOR SOLON MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 07/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3998 RED LION RD SUITE 202
PHILADELPHIA PA
19114
US

IV. Provider business mailing address

3998 RED LION RD SUITE 202
PHILADELPHIA PA
19114
US

V. Phone/Fax

Practice location:
  • Phone: 215-969-4003
  • Fax: 215-969-4008
Mailing address:
  • Phone: 215-969-4003
  • Fax: 215-969-4008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VICTOR A SOLON
Title or Position: PRESIDENT
Credential: MD
Phone: 215-969-4003