Healthcare Provider Details

I. General information

NPI: 1952331944
Provider Name (Legal Business Name): ARTHUR P TOPOULOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 NORTH 39TH STREET 4 PHI
PHILADELPHIA PA
19104-2640
US

IV. Provider business mailing address

51 NORTH 39TH STREET 4 PHI
PHILADELPHIA PA
19104-2640
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-9189
  • Fax: 215-243-4612
Mailing address:
  • Phone: 215-662-9189
  • Fax: 215-243-4612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberMD417551
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: